内科胸腔镜在胸腔积液的诊断应用探析  

Exploration and Application of Internal Thoracoscopy in the Diagnosis of Pleural Effusion

作　　者：赖煜堂 LAI Yu-tang(Department of Respiratory Medicine,Yong’an Municipal Hospital,Fujian Yong’an 366000)

机构地区：[1]永安市立医院呼吸内科,福建永安366000

出　　处：《中国医疗器械信息》2024年第15期99-101,共3页China Medical Device Information

摘　　要：目的:分析内科胸腔镜在胸腔积液的诊断应用效果。方法:选取2017年3月~2022年5月在本院的30例不明原因胸腔积液患者,所有患者均应用内科胸腔镜诊断,统计诊断结果。结果:本组患者经内科胸腔镜检查确诊29例,诊断准确率为96.67%;包含6例恶性肿瘤性胸腔积液,占总数的20.00%,有5例炎症性胸腔积液,占总数的16.67%,有18例结核性胸腔积液,占总数的60.00%,另外1例未能确诊,占总数的3.33%。内科胸腔镜检查术后共计出现8例并发症,包括5例术后切口疼痛、1例发热和2例皮下气肿,未出现恶性心律失常、复张性肺水肿、大出血等严重并发症,并发症发生率为26.67%。结论:内科胸腔镜能够准确的诊断胸腔积液,且具有操作简单、安全、创伤小、诊断率高等多方面优势。Objective:To analyze the diagnostic effect of internal thoracoscopy in pleural effusion.Methods:30 patients with unexplained pleural effusion who were admitted to our hospital from March 2017 to May 2022 were selected.All patients were diagnosed using internal thoracoscopy and the diagnostic results were statistically analyzed.Results:29 patients in this group were diagnosed through internal thoracoscopy,with a diagnostic accuracy rate of 96.67%;Including 6 cases of malignant pleural effusion,accounting for 20.00%of the total,5 cases of inflammatory pleural effusion,accounting for 16.67%of the total,18 cases of tuberculous pleural effusion,accounting for 60.00%of the total,and 1 case of undiagnosed pleural effusion,accounting for 3.33%of the total.A total of 8 complications occurred after internal thoracoscopy examination,including 5 cases of postoperative incision pain,1 case of fever,and 2 cases of subcutaneous emphysema.There were no serious complications such as malignant arrhythmia,recurrent pulmonary edema,and massive bleeding,with a complication rate of 26.67%.Conclusion:Medical thoracoscopy can accurately diagnose pleural effusion,and has many advantages such as simple operation,safety,less trauma and high diagnosis rate.

关 键 词：内科胸腔镜 胸腔积液 诊断价值 

分 类 号：R561[医药卫生—呼吸系统]