CAJ | 학술논문

目的：评价内科胸腔镜在胸腔积液中的诊断价值。方法回顾性分析我院2011年8月至2012年7月期间共147例胸腔积液患者行内科胸腔镜检查结果情况。结果147例胸腔积液患者行病理活检，确诊结核性渗出性胸膜炎74例，腺癌44例，鳞癌5例，腺鳞癌2例，胸膜间皮瘤3例，非特异性炎症6例，淋巴瘤2例，嗜酸细胞增多症1例，脓胸形成1例，未能明确病因3例，镜下胸膜正常6例；确诊率93.88%。结论内科胸腔镜是一种操作简便、安全高效的诊断方法。
목적：평개내과흉강경재흉강적액중적진단개치。방법회고성분석아원2011년8월지2012년7월기간공147례흉강적액환자행내과흉강경검사결과정황。결과147례흉강적액환자행병리활검，학진결핵성삼출성흉막염74례，선암44례，린암5례，선린암2례，흉막간피류3례，비특이성염증6례，림파류2례，기산세포증다증1례，농흉형성1례，미능명학병인3례，경하흉막정상6례；학진솔93.88%。결론내과흉강경시일충조작간편、안전고효적진단방법。
Objective To evaluate the Medical Thoracoscopy in pleural effusion diagnostic value. Methods A retro-spective analysis of our hospital between August 2011 and July 2012 underwent medical thoracoscopy results in a total of 147 cases of pleural effusion. Results 141cases of pleural effusion underwent biopsy, confirmed tuberculous exudative pleurisy 74 cases, 44 cases of adenocarcinoma, squamous cell carcinoma of 5 cases, 2 cases of adenosquamous carcinoma, 3 cases of pleural meso-thelioma, 6cases of non-specific inflammation, 2 cases of lymphoma, eosinophilia cases, empyema formation in 1 case, failed to clear the cause of 3 cases, the normal endoscopic pleural six cases; diagnosis rate of 93. 88% . Conclusion Medical thoracoscopy is the simple, safe and efficient diagnostic method.