回顾性分析我院内科胸腔镜对147例胸腔积液患者的诊断  

Retrospective Analysis of the Value for Diagnostic of the 147 Cases of Patients with Pleural Effusion through Medical Thoracoscopy in Our Hospital

作　　者：江红丽 韦球[2] 徐智[3] 

机构地区：[1]威远县第二人民医院,四川内江642450 [2]南宁市第一人民医院呼吸内科,广西南宁530022 [3]重庆市第三军医大学新桥医院呼吸科,重庆400037

出　　处：《四川医学》2014年第7期861-862,共2页Sichuan Medical Journal

摘　　要：目的评价内科胸腔镜在胸腔积液中的诊断价值。方法回顾性分析我院2011年8月至2012年7月期间共147例胸腔积液患者行内科胸腔镜检查结果情况。结果 147例胸腔积液患者行病理活检,确诊结核性渗出性胸膜炎74例,腺癌44例,鳞癌5例,腺鳞癌2例,胸膜间皮瘤3例,非特异性炎症6例,淋巴瘤2例,嗜酸细胞增多症1例,脓胸形成1例,未能明确病因3例,镜下胸膜正常6例;确诊率93.88%。结论内科胸腔镜是一种操作简便、安全高效的诊断方法。Objective To evaluate the Medical Thoracoscopy in pleural effusion diagnostic value. Methods A retrospective analysis of our hospital between August 2011 and July 2012 underwent medical thoracoscopy results in a total of 147 cases of pleural effusion. Results 141cases of pleural effusion underwent biopsy, confirmed tuberculous exudative pleurisy 74 cases, 44 cases of adenocarcinoma, squamous cell carcinoma of 5 cases, 2 cases of adenosquamous carcinoma, 3 cases of pleural mesothelioma, 6cases of non-specific inflammation, 2 cases of lymphoma, eosinophilia cases, empyema formation in 1 case, failed to clear the cause of 3 cases, the normal endoscopic pleural six cases; diagnosis rate of 93. 88% . Conclusion Medical thoracoscopy is the simple, safe and efficient diagnostic method.

关 键 词：内科胸腔镜 胸腔积液 诊断 

分 类 号：R561.3[医药卫生—呼吸系统]