经皮胸膜活检对胸腔积液病因诊断的价值  

Value of percutaneous pleural biopsy in the etiological diagnosis of pleural effusion

作　　者：邱汉辉[1] 张清祥[1] 张岭春 谢战忠 李先[1] 

机构地区：[1]广东省梅州市梅县人民医院呼吸内科,514011

出　　处：《中国实用医药》2014年第3期19-20,共2页China Practical Medicine

摘　　要：目的探讨经皮胸膜活检对胸腔积液病因诊断的价值和安全性。方法回顾性分析86例胸腔积液行闭式胸膜活检患者的临床资料。结果经皮胸膜活检成功率为95.3%,直接明确病因诊断的共57例,确诊率为66.3%,其中结核性胸膜炎阳性率为91.3%,恶性胸腔积液的阳性率48.4%,发生胸膜反应3例,气胸1例。结论经皮胸膜活检操作简单、易行、创伤小、安全、阳性率高。Objective To evaluate the value and safety of percutaneous pleural biopsy in the etiological diagnosis of pleural effusion. Methods A retrospective analysis of the clinical data of 86 patients with pleural effusion for closed pleural biopsy patients. Results Transcutaneous pleural biopsy success rate was 95.3%, the direct etiological diagnosis were 57 cases, the diagnosis rate was 66.3%, the positive rate of tuberculosis pleurisy was 91.3%, the positive rate of malignant pleural effusion was 48.4%, 3 cases of pleural reaction, 1 case of pneumothorax. Conclusion Transcutaneous pleural biopsy has the advantages of simple operation, convenient, less traumatic, safe, high positive rate, has high value in diagnosis of pleural effusion.

关 键 词：胸腔积液 胸膜活检 结核 恶性 

分 类 号：R561[医药卫生—呼吸系统]