纤维心包镜对心包积液的病因学诊断价值  

The Value of Pericardioscopy in the Etiological Diagnosis of Pericardial Effusion

作　　者：马晓丽[1] 张军[1] 袁琛[1] 陈树平[1] 王长厚[1] 

机构地区：[1]河北省沧州市中心医院心内五科,沧州061001

出　　处：《中国医药导刊》2013年第3期369-370,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:通过在纤维心包镜下对心包病变直视观察,对心包组织多处活检,从而对心包积液进行病因学诊断,评价纤维心包镜的临床应用价值。方法:42例心包积液患者均进行常规检查做出病因的临床诊断(A组)。用纤维心包镜观察心包形态学改变并心包组织病理检查,明确病理诊断(B组)。比较两种方法所得各种病因的发生率。结果:纤维心包镜在非特异性心包积液、癌性心包积液、化脓性心包积液的病因学诊断与临床诊断基本一致,而对结核性心包积液的诊断明显优于临床诊断。结论:纤维心包镜在心包积液的病因学诊断方面有临床应用价值。Objective： To evaluate the role of pericardioscopy in the diagnosis of pericardial effusion.Methods：42 patients were divided into two groups：patients in group A underwent routine examinations and patients in group B underwent pericardioscopy examination to obtain etiologic data and visualization of pericardium.And then we compared the incidence of causes in two groups.The results of indicator were showed as percentages.Results：Pericardioscopy looks the same as routine examinations in diagnosis of non-special pericardial effusion,malignant pericardial effusion and purulent pericardial effusion,but is better than routine examinations in the diagnosis of tuberculous pericardial effusion.Conclusions： Pericardioscopy has a practical value in the etiological diagnosis of pericardial effusion.

关 键 词：心包积液 纤维心包镜 心包活检 病因诊断 

分 类 号：R542.12[医药卫生—心血管疾病]