结核性胸膜炎内科胸腔镜下表型及其诊断价值  

Morphological features of tuberculous pleurisy under thoracoscopy and its diagnostic value

作　　者：倪孔守[1] 张冰[1] 吴正琮[1] 谢建春[1] 郑宏宗 黄柳芝[1] 敖日影[1] 

机构地区：[1]福建中医药大学附属福鼎医院呼吸内科,福建福州355200

出　　处：《中国内镜杂志》2015年第3期291-294,共4页China Journal of Endoscopy

摘　　要：目的观察结核性胸膜炎患者胸腔镜下表现特征,探讨结核性胸膜炎镜下不同表型对诊断的价值。方法回顾分析2011年4月-2013年7月60例确诊结核性胸膜炎患者内科胸腔镜下表现特征。结果 60例结核性胸膜炎患者胸腔镜下主要表现为4种类型：胸膜弥漫性充血水肿、糜烂;粟粒性结节型（多发或散在的小结节型,个别融合成大结节,直径1-2 cm）;胸膜肥厚、胸膜腔呈多房改变;纤维苔素沉积及粘连。结论结核性胸膜炎患者内科胸腔镜下表现形态多样,以结节、弥漫性充血水肿为主,内科胸腔镜检查安全,创伤小,诊断率高,对结核性胸腔积液具有重要应用价值。【Objective】To observe the performance characteristic of tuberculous pleurisy patients under the medical thoracoscope, explore diagnostic value of different phenotypes. 【Methods】The performance characteristics60 patients of tuberculous pleurisy under the medical thoracoscope from our hospital from April 2011 to July 2013 were retrospectively analyzed. 【Results】60 patients with tuberculous pleurisy were mainly divided into four types：under thoracoscopy pleural diffuse hyperemia edema, erosion; millet nodular type（multiple or scattered nodules, individual fused into large nodules, 1 ~2 cm in diameter）; The pleura hypertrophy occurred, pleural cavity presented many rooms change; Fiber moss exhibited deposition and adhesion.【Conclusion】Forms of patients with tuberculous pleurisy under thoracoscopy are diverse, nodular and diffuse hyperemia edema being main forms. Medical thoracoscopy is safety, with small trauma, and high diagnostic rate, has important value of application in patients with tuberculous pleural effusion.

关 键 词：结核性 胸膜炎 内科胸腔镜 病理 

分 类 号：R655[医药卫生—外科学]