钝头钩针经皮穿刺胸膜活检、肺穿针胸膜活检及胸腔镜胸膜活检诊断胸腔积液的效果比较  

Efficiency comparison between percutaneous pleural biopsy with blunt-pointed hook needle,percutaneous pleural biopsy with pulmonary puncture needle and thoracoscopic pleural biopsy in diagnosis of pleural effusion

作　　者：张勇[1] 曹辉[1] 陈萍[1] ZHANG Yong;CAO Hui;CHEN Ping(Pengzhou People′s Hosipital, Pengzhou, Sichuan 611930)

机构地区：[1]四川省彭州市人民医院,四川彭州611930

出　　处：《实用临床医药杂志》2019年第6期31-33,共3页Journal of Clinical Medicine in Practice

摘　　要：目的比较钝头钩针经皮穿刺胸膜活检、肺穿针胸膜活检、胸腔镜胸膜活检诊断胸腔积液的效果。方法将126例胸腔积液患者随机分为A组(胸腔镜)45例,B组(肺穿针)40例,C组(钝头钩针)41例。比较3组阳性诊断率。结果A组阳性诊断率为93. 3%,B组为77. 5%,C组为73. 2%。A组阳性诊断率显著高于B组、C组(P <0. 05)。B组、C组阳性诊断率比较,差异无统计学意义(P> 0. 05)。结论胸腔镜胸膜活检对不明原因胸腔积液具有较高的诊断价值。Objective To compare the efficiency of percutaneous pleural biopsy with bluntpointed hook needle, percutaneous pleural biopsy with pulmonary puncture needle and thoracoscopic pleural biopsy in diagnosis of pleural effusion. Methods Totally 126 patients with pleural effusion were randomly divided into group A ( n =45, treated by thoracoscopic pleural biopsy), group B ( n =40, treated by pulmonary puncture needle) and group C ( n =41, treated by blunt-pointed hook needle). Positive diagnostic rate was compared among the three groups. Results The positive diagnostic rate was 93.3% in group A, 77.5% in group B and 73.2% in group C. The positive diagnostic rate of group A was significantly higher than that of group B and group C ( P <0.05). There was no significant difference in the positive diagnostic rate between group B and group C ( P >0.05). Conclusion Thoracoscopic pleural biopsy has a high diagnostic value for pleural effusion with unknown reason.

关 键 词：胸膜活检 胸腔镜 胸腔积液 钝头钩针 肺穿针 阳性诊断率 

分 类 号：R561[医药卫生—呼吸系统]