内科胸腔镜检查在不同病因胸腔积液患者中的诊断价值及术后并发症情况分析  

Diagnostic Value of Medical Thoracoscopy in Patients with Pleural Effusion of Different Etiologies and Analysis of Postoperative Complications

作　　者：姚玉 李红苗 Yao Yu;Li Hongmiao(Department of Respiratory and Critical Care Medicine,Jianhu Clinical Medical College,Yangzhou University,Yancheng,Jiangsu,224700,China)

机构地区：[1]扬州大学建湖临床医学院呼吸与危重症医学科,江苏盐城224700

出　　处：《黑龙江医学》2023年第16期1935-1937,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨内科胸腔镜检查在不同病因胸腔积液患者中的诊断价值及术后有无严重并发症、空气栓塞、心跳骤停等危险并发症发生。方法:回顾性分析2019年1月—2021年6月扬州大学建湖临床医学院收治的62例不同病因胸腔积液患者的临床资料,所有患者均行内科胸腔镜检查,计算诊断阳性率,明确胸腔积液患者病因,分析内科胸腔镜检查的典型表现,以及患者术后并发症发生情况。结果:经内科胸腔镜检查发现,62例胸腔积液患者,以结核、肺腺癌为主要病因,经病理金标准确诊53例,内科胸腔镜检查诊断阳性率为85.48%。胸腔积液62例患者中,通过内科胸腔镜检查,表现不同主要分为3种类型:首先表现为孤立性的结节或肿块,可呈菜花状,结节部分融合,病灶表面往往比较粗糙,同时也有坏死组织,多表现为有胸膜急充血水肿。不同病因胸腔积液患者术后并发症发生9例,62例患者术后并发症发生率为14.52%。结论:胸腔积液患者中,以结核、肺腺癌为主要病因,内科胸腔镜检查诊断价值较高,患者术后无严重并发症。Objective:To investigate the diagnostic value and postoperative complications of medical thoracoscopy in patients with pleural effusion of different etiologies,and the occurrence of dangerous complications such as serious complications,air embolism and cardiac arrest.Methods:The clinical data of 62 patients with pleural effusion of different etiologies admitted to the hospital from January 2019 to June 2021 were retrospectively analyzed,and all patients underwent medical thoracoscopy.The diagnostic positivity rate was calculated to clarify the etiology of patients with pleural effusion.The typical presentation of medical thoracoscopy and the occurrence of postoperative complications in patients were analyzed.Results:62 patients with pleural effusion were identified by medical thoracoscopy,with tuberculosis and adenocarcinoma of the lung as the main etiology.The diagnosis was confirmed by pathological gold standard in 53 cases,and the diagnostic positivity rate of internal thoracoscopy was 85.48%.Of the 62 patients with pleural effusion,there were 3 main types with different presentations by medical thoracoscopy.The first manifestation was an isolated nodule or mass,which could be cauliflower-shaped,with partial fusion of the nodules,and the surface of the lesion was often rough,along with necrotic tissue,mostly manifested with acute pleural congestion and edema.Postoperative complications occurred in 9 patients with pleural effusion of different etiologies,and the postoperative complication rate was 14.52%in 62 patients.Conclusion:Among patients with pleural effusion,tuberculosis and adenocarcinoma of the lung were the main causes,and the diagnostic value of medical thoracoscopy was high,and the patients had no serious postoperative complications.

关 键 词：内科胸腔镜检查 肺腺癌 胸腔积液患者 结核 术后并发症 

分 类 号：R73[医药卫生—肿瘤]