基层医院开展经皮胸膜活检术在胸腔积液中的应用研究  

Research on Application of Transcutaneous Pleural Biopsy to Pleural Effusion in Primary Hospitals

作　　者：邹小娟 陈冰 袁东平 汪金林[2] ZOU Xiao-juan;CHEN Bing;YUAN Dong-ping(The People′s Hospital of Longchuan County, Heyuan 517300,China;The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510000,China)

机构地区：[1]龙川县人民医院,广东河源517300 [2]广州医科大学附属第一医院,广东广州510000

出　　处：《吉林医学》2018年第3期487-489,共3页Jilin Medical Journal

基　　金：2016年河源市社会发展科技计划项目[项目编号:2016092]

摘　　要：目的:研究基层医院开展经皮胸膜活检术在胸腔积液中的应用。方法:选取40例患者为观察组,160例患者为对照组,对比分析两组患者病理学和细胞学检测结果、并发症发生率及经济指标。结果:对照组患者开展经皮胸膜活检术,首次检查取到胸膜组织共152例,取到皮肤8例,成功率为95%,观察组中,首次检查取到胸膜组织共36例,取到皮肤4例,成功率为90%,组间对比,差异无统计学意义(P>0.05)。另外,恶性胸腔积液检测阳性率、胸水中癌细胞检测阳性率、痰中存在癌细胞检测阳性率、典型结核改变检测阳性率,两组各项检测结果比较,差异均无统计学意义(P>0.05)。观察组患者并发症发生率为30%,对照组患者并发症发生率为40%,经统计学对比分析,差异无统计学意义(P>0.05)。对照组在一次性胸腔穿刺包、病理检查、术后并发症护理等经济指标对比中,均显著高于对照组,差异显著,有统计学意义(P<0.05)。结论:两组阳性率、并发症等无差异性,观察组经皮胸膜活检术的经济费用相对较低,优势显著,因此可在基层医院中广泛推广和使用。Objective To investigate the application of transcutaneous pleural biopsy to pleural effusion in primary hospitals.Method40patients were selected as observation group and160patients were selected as control group.The pathological and cytological testing result,complication incidence and economic index of patients in both groups were compared and analyzed.Results The transcutaneous pleural biopsy was offered to patients in control group.For the first examination,totally152pleura and8skin cases were obtained from control group,the success rate was95%while for the observational group,36pleura and4skin cases were obtained,the success rate was90%.The contrast difference between two groups had no statistical significance(P>0.05).Additionally,for the positive rate of malignant pleural effusion testing,testing of cancer cells in pleural effusion and phlegm,and typical tuberculosis change testing,the differences of various testing results of two groups had no statistical significance(P>0.05).The complication incidence of patients in observational group was30%while that of the control group was40%,after statistical contrastive analysis,with no statistical significance(P>0.05).For comparison of one-off thoracocentesis,pathological examination,postoperative complication nursing and other economic indexes,control group was obviously higher than observation group,the statistic difference was significant(P<0.05).Conclusion The positive rate and complication of the two groups have no difference and,the economic cost of transcutaneous pleural biopsy in observation group is relatively lower with significant advantages,which could thereby be widely popularized and applied in primary hospitals.

关 键 词：基层医院 经皮胸膜活检术 胸腔积液 

分 类 号：R561.3[医药卫生—呼吸系统]