新型胸膜活检针在不明原因胸腔积液的诊断价值  

Value of New Style Puncture Needles on Pleural Effusion With Unknown Origin

作　　者：张维杰[1] 李辉[1] 陈静[1] 邢丽艳[1] 安东善[1] 

机构地区：[1]吉林省人民医院呼吸内科,长春130021

出　　处：《中国卫生标准管理》2015年第30期166-167,共2页China Health Standard Management

基　　金：吉林省卫生厅科研课题(编号:20122116)

摘　　要：目的通过新型胸膜活检针进行胸膜活检以提高不明原因胸腔积液的诊断率。方法总结63例经皮细针穿刺胸膜活检的胸腔积液病例诊断阳性情况,分析影响阳性率的因素及胸膜活检的并发症。结果 63例共进行胸膜活检72次总活检阳性率46.03%(29/63)。术中并发胸膜反应1例(1.39%),少量气胸2例(2.78%),未出现出血、术后感染。结论新型活检针行胸膜活检可提高胸腔积液的诊断率,且操作方便,损伤小,无严重并发症,是安全有效的诊断手段之一。Objective To promote the diagnostic rate of pleural effusion of unknown origin by the new style puncture needles. Methods 63 patients with pleural effusion were performed with the new style puncture needles aspiration biopsy,summary positive rate. Analysis of effect factor and complication. Results 63 cases with 72 times of biopsy,the positive rate was 46.0%（29/63）. There was one case of complications of pleura reaction（1.39%）,2 cases of a small amount of pneumothorax（2.78%）,no haemorrhage and postoperative infection. Conclusion The pleural biopsy by the new style puncture needles can greatly improve the diagnositic rate of pleural effusion with easy operation,small damage and without serious complications,it is a safe and effective diagnostic method.

关 键 词：新型活检针 胸膜活检 胸腔积液 

分 类 号：R561.3[医药卫生—呼吸系统]