可曲式内科胸腔镜在结核性胸膜炎诊断中的价值  

Diagnostic Value of Flexible Medical Thoracoscopy in the Diagnosis of Tuberculous Pleurisy

作　　者：池跃朋[1] 牛波[2] 董雅坤[1] 刘丽景[1] 谢兰品[1] 

机构地区：[1]河北省胸科医院二病区,河北石家庄050000 [2]河北省儿童医院呼吸二科,河北石家庄050000

出　　处：《标记免疫分析与临床》2016年第3期265-267,共3页Labeled Immunoassays and Clinical Medicine

基　　金：河北省卫生厅项目(20130434)

摘　　要：目的探讨可曲式内科胸腔镜在提高结核性胸膜炎诊断准确性方面的应用价值。方法回顾性分析2012年1月至2014年12月确诊的60例结核性胸膜炎患者的胸水结核分枝杆菌培养、结核分枝杆菌实时荧光定量聚合酶链反应(TB-PCR)和胸腔镜的检查结果。结果 60例结核性胸膜炎患者中胸腔镜胸膜活检阳性率85.00%(51/60),明显高于培养法的1.67%(1/60)和TB-PCR法的8.33%(5/60),差异均有统计学意义(P<0.001)。结论可曲式内科胸腔镜检查在结核性胸膜炎的诊断中有重要价值。Objective To investigate the diagnostic value of flexible thoracoscopy in tuberculous pleurisy. Methods Sixty patients with tuberculous pleurisy were enrolled in this study. The positive rates of mycobacterium tuberculosis（ TB） culture and polymerase chain reaction（ PCR） in pleural effusions and the results of pleural biopsy via the flexible thoracoscopy were analyzed retrospectively. Results The positive rate of pleura biopsy via flexible medical thoracoscopy（ 85. 00%） was higher than that with culture（ 1. 67%） and TB-PCR（ 8. 33%）,and there were statistical significance difference between them（ χ^2= 50,P〈0. 001 and χ^2= 46,P〈0. 001）.Conclusion The flexible medical thoracoscopy is a valuable method in diagnosis of tuberculous pleurisy.

关 键 词：胸腔镜 结核性胸膜炎 TB-PCR 

分 类 号：R521.7[医药卫生—内科学]