经皮穿刺胸膜盲检和内科胸腔镜胸膜活检在渗出性胸腔积液诊断中的应用价值对比  

Diagnostic value of percutaneous pleural biopsy and thoracoscopic pleural biopsy in exudative pleural effusion

作　　者：范庭涛 毛成晔 张春艳 罗小梅 翁杭 Fan Tingtao;Mao Chengye;Zhang Chunyan;Luo Xiaomei;Weng Hang(The Sanming First Hospital of Fujian Medical University,Sanming,Fujian 365000)

机构地区：[1]福建医科大学附属三明第一医院,福建三明365000

出　　处：《基层医学论坛》2023年第26期25-28,共4页The Medical Forum

摘　　要：目的对比经皮穿刺胸膜盲检和内科胸腔镜胸膜活检在渗出性胸腔积液患者病因诊断中的应用价值。方法选取福建医科大学附属三明第一医院呼吸内科83例经诊断性胸腔穿刺术后按Light诊断标准明确为渗出性胸腔积液的患者,根据不同的活检方法分成A、B 2组,其中A组43例患者行经皮穿刺胸膜盲检,B组40例患者行内科胸腔镜胸膜活检,比较2种活检方法对渗出性胸腔积液的确诊率。结果A组行经皮穿刺胸膜盲检患者中的25例获得确诊(58.1%),B组行内科胸腔镜胸膜活检患者中的36例最终确诊(90.0%)。结论经皮穿刺胸膜盲检是基层医院明确渗出性胸腔积液病因的首选诊断方法,但是内科胸腔镜胸膜活检对渗出性胸腔积液的确诊率更高,具有更高的应用价值,适合在临床工作中推广应用。Objective To explore the clinical value of percutaneous pleural biopsy and thoracoscopic pleural biopsy in etiological diagnosis of exudative pleural effusion.Methods 83 patients in respiratory department of Sanming First Hospital of Fujian Medicd Universtity who were diagnosed as exudative pleural effusion according to Light diagnostic criteria were divided into two groups according to different biopsy methods:A group and B group,among them,43 patients in Group A underwent percutaneous pleural biopsy and 40 patients in Group B underwent thoracoscopic pleural biopsy.Results In Group A,25 patients(58.1%)were diagnosed by percutaneous pleural biopsy,and in Group B,36 patients(90.0%)were diagnosed by thoracoscopic pleural biopsy.Conclusion Blind percutaneous pleural biopsy is the first choice for primary hospitals to determine the cause of exudative pleural effusion.However,the diagnostic rate of pleural biopsy under medical thoracoscope is higher,which has higher application value and is especially suitable for clinical application.

关 键 词：渗出性胸腔积液 经皮穿刺胸膜盲检 内科胸腔镜胸膜活检 

分 类 号：R561.3[医药卫生—呼吸系统]