中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
20期
12-13
,共2页
胸膜活检%胸腔积液
胸膜活檢%胸腔積液
흉막활검%흉강적액
Pleural biopsy%Pleural effusion
目的 探讨胸膜活检对胸腔积液鉴别诊断的价值.方法 对56例胸腔积液患者胸膜活检的病理诊断阳性率、取材成功率进行总结,分析影响诊断阳性率的因素以及胸膜活检的并发症.结果 56例中49例(87.5%)病理组织学诊断阳性,增加活检次数可提高诊断阳性率;胸膜活检阳性率随发病至活检时间的缩短而升高.61例次胸腹活检发生气胸1例次(1.6%).结论 胸膜活检可作为胸腔积液鉴别诊断安全有效的手段,早期活检阳性率较高.
目的 探討胸膜活檢對胸腔積液鑒彆診斷的價值.方法 對56例胸腔積液患者胸膜活檢的病理診斷暘性率、取材成功率進行總結,分析影響診斷暘性率的因素以及胸膜活檢的併髮癥.結果 56例中49例(87.5%)病理組織學診斷暘性,增加活檢次數可提高診斷暘性率;胸膜活檢暘性率隨髮病至活檢時間的縮短而升高.61例次胸腹活檢髮生氣胸1例次(1.6%).結論 胸膜活檢可作為胸腔積液鑒彆診斷安全有效的手段,早期活檢暘性率較高.
목적 탐토흉막활검대흉강적액감별진단적개치.방법 대56례흉강적액환자흉막활검적병리진단양성솔、취재성공솔진행총결,분석영향진단양성솔적인소이급흉막활검적병발증.결과 56례중49례(87.5%)병리조직학진단양성,증가활검차수가제고진단양성솔;흉막활검양성솔수발병지활검시간적축단이승고.61례차흉복활검발생기흉1례차(1.6%).결론 흉막활검가작위흉강적액감별진단안전유효적수단,조기활검양성솔교고.
Objective To evaluate the value of pleural biopsy in the differential diagnosis of pleural effusion. Methods Fifty-six patients with pleural effusion were analyzed retrospectively. The positive rate of pathological diagnosis,successful rate of obtaining specimens, factors affecting diagnosing rate and complications of the pleural biopsy were studied. Results Furty-nine cases of the fifty patients with plcural effusion got pathologic diagnosis and the positive rate was 87.5%. To increase the times of pleural biopsy could get high positive diagnosing rate. The earlier the pleural biopsy has been done, the higher rate of the patho-logial diagnosis will be. The incidence of pneumothorax was 1.6%. Conclusions Pleural biopsy is a safe and useful method for differential diagnosis of pleural effusion. Early biopsy can get a high rate of pathological diagnosis.
