可弯曲电子胸腔镜在不明原因胸水患者诊断中的应用价值(附121例)  

Diagnosis of unknown origin pleural effusion by flexible electronic thoracoscopy- A report of 121 cases

作　　者：张永庆[1] 苗毅[1] 尚立群[1] 陈瑞琳[1] 杨淑梅[1] 

机构地区：[1]陕西省人民医院呼吸病院,陕西西安710068

出　　处：《现代肿瘤医学》2016年第20期3217-3218,共2页Journal of Modern Oncology

基　　金：陕西省科学技术研究发展计划项目(编号:2012SF2-19)

摘　　要：目的:探讨尖端可弯曲内科胸腔镜检查术对未明原因的胸腔积液患者的诊断价值。方法:回顾性分析121例不明原因胸腔积液患者的胸腔镜检查资料。结果:121例患者胸膜病检结果:结核性54例(44.6%),肿瘤46例(38.0%),非特异性炎症17例(14.0%),感染性3例(2.5%),不明原因1例(0.8%)。术后胸膜活检部位少量出血2例,轻度疼痛118例,无其他严重并发症。结论:内科胸腔镜检查术可以明确胸腔积液患者的病因,简单安全,费用不高。Objective To investigate the value of flexirigid thoracoscopy in diagnosis of origin pleural effusions. Methods：Totally 121 patients with pleural effusion were detected by through flexirigid thoracoscopic biopsy. Results：The pathological results：54 cases with tuberculous pleuritis（44. 6% ） ,46 cases with malignant tumors（38. 0% ） ,17 cases with nonspecific inf!ammation（ 14. 0% ） ,3 cases with infectious inflammation（2. 5% ） and 1 case with unknown causes（0. 8% ）. There were 2 patients with a small amount of bleeding, 118 complained mild chest pain after proce-dure. Conclusion ： Thoracoscopic pleural biopsy is pathologically able to make clear the origin of pleural effusion with safety and reliability.

关 键 词：内科胸腔镜 胸腔积液 病因学 胸膜活检 

分 类 号：R730.4[医药卫生—肿瘤]