胸腔积液引流沉淀物在恶性胸腔积液中的诊断价值  

Diagnosis value of Pleural effusion drainage sediments in malignant pleural effusion

作　　者：万轲[1] 

机构地区：[1]长沙市中心医院胸科,湖南长沙410007

出　　处：《中国当代医药》2012年第31期191-192,共2页China Modern Medicine

摘　　要：目的探讨胸腔积液引流沉淀物在恶性胸腔积液中的诊断价值。方法对106例恶性胸腔积液患者用中心静脉导管(ARROW管)行胸腔闭式引流,引流沉淀物行组织病理学检查,同时,胸腔积液行脱落细胞学检查作为对照。结果胸腔积液引流沉淀物组织病理学检查阳性率(92.5%)明显高于胸腔积液脱落细胞学检查(60.4%),差异有统计学意义(P<0.01);癌组织类型确诊率(100.0%)明显高于胸腔积液脱落细胞学检查(81.3%),差异有统计学意义(P<0.01)。结论胸腔积液引流沉淀物对于恶性胸腔积液具有重要的诊断价值。Objective To investigate the diagnosis value of sediment in the pleural effusion in patients with pleural effu- sion. Methods One hundred and six patients with malignant pleural effusion was taken closed thoracic drainage with cen- tral venous catheter, and the sediments in the pleural effusion was taken for histopathological examination, at the same time, as control line, the pleural effusion was taken for effusion cytology examination. Results For the diagnosis of malig- nant pleural effusion, the positive rate of sediments histopathological examination （92.5%） was markedly higher than that of effusion cytology examination （60.4%）, the difference was significant （P 〈 0.01）; for the histological classification of cancer, the correct diagnosis rate of sediment histopathological examination （100.0%） was markedly higher than that of effusion cy- tology examination （92.5%）, the difference was significant （P 〈 0.01）. Conclusion Sediments in the pleural effusion has im- portant significance for the diagnosis of pleural effusion.

关 键 词：恶性胸腔积液 沉淀物 诊断 价值 

分 类 号：R730.5[医药卫生—肿瘤]