结核性胸膜炎内科胸腔镜下表现及其诊断价值  

Morphological features of tuberculous pleurisy under thoracoscopy and its diagnostic value

作　　者：陈敏[1] 赖天文[1] 陈衡华[1] 吴斌[1] 

机构地区：[1]广东医学院附属医院呼吸内科,广东湛江524001

出　　处：《临床肺科杂志》2013年第6期1064-1065,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨结核性胸膜炎内科胸腔镜下的形态表现。方法分析35例通过内科胸腔镜检查和组织活检确诊的结核性胸膜炎的胸腔镜下表现特征。结果 35例镜下表现为(1)胸膜肥厚,纤维粘连或形成包裹腔5例;(2)胸膜弥漫性充血、水肿,粟粒样分散灰白或淡黄的小结节,胸膜白色片状改变13例;(3)粟粒样分散灰白或淡黄的小结节,结节融合17例。结论结核性胸膜炎内科胸腔镜下表现形态多样,对结核性胸膜炎的诊断具有较高临床价值。Objective To investigate the morphological features of tuberculous pleurisy under thoracoscopy and to evaluate its di- agnostic value. Methods The morphological features and pathological results of 35 patients who had been diagnosed as tuberculous pleu- risy by thoracoscopy were retrospectively analyzed. Results The manifestations included 5 cases of paehynsis pleurae, fabric adhesion, or encysted pleurisy, 13 cases of pleural diffuse edema, miliary spread like gray or pale yellow nodules, and pleural changes in the white sheet, 17 cases of miliary like gray or yellow scattered small nodules fusion. Conclusion The morphological features of tuberculous pleu- risy are various under thoracoscopy, which have an important value in the diagnosis of tuberculous pleurisy.

关 键 词：胸膜炎 结核性 胸腔镜 

分 类 号：R521.7[医药卫生—内科学]