中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
31期
12-14
,共3页
胸膜活检术%结核性胸膜炎%诊断意义%影响因素
胸膜活檢術%結覈性胸膜炎%診斷意義%影響因素
흉막활검술%결핵성흉막염%진단의의%영향인소
Pleural biopsy%Tuberculous pleurisy%Diagnostic significance%Influencing factor
目的：探讨胸膜活检术对于结核性胸膜炎的诊断意义及其可能的影响因素。方法：对2008年5月-2012年6月因胸腔积液在本院呼吸科住院治疗的133例患者的临床资料进行回顾性分析，探讨经皮胸膜穿刺活检术对于诊断结核性胸膜炎的临床意义，并分析可能影响其阳性率的因素。结果：133例患者中诊断为结核性胸膜炎者103例（77.44%）；病理以急性期，典型增生，结核肉芽肿改变或者干酪样坏死改变为主者70例（67.96%）；病理出现慢性期，呈纤维增生等非特异性炎症改变者29例（28.16%）；胸膜活检的次数可以提高诊断的阳性率；胸膜活检的阳性率与患者病程的长短、年龄的大小、胸水量的多少呈一定相关性。结论：胸膜活检术具有操作简单、创伤小、并发症风险低、费用少，重复性强，安全可靠等特点，是诊断结核胸膜炎敏感性及特异性较高的手段，值得在临床上推广。
目的：探討胸膜活檢術對于結覈性胸膜炎的診斷意義及其可能的影響因素。方法：對2008年5月-2012年6月因胸腔積液在本院呼吸科住院治療的133例患者的臨床資料進行迴顧性分析，探討經皮胸膜穿刺活檢術對于診斷結覈性胸膜炎的臨床意義，併分析可能影響其暘性率的因素。結果：133例患者中診斷為結覈性胸膜炎者103例（77.44%）；病理以急性期，典型增生，結覈肉芽腫改變或者榦酪樣壞死改變為主者70例（67.96%）；病理齣現慢性期，呈纖維增生等非特異性炎癥改變者29例（28.16%）；胸膜活檢的次數可以提高診斷的暘性率；胸膜活檢的暘性率與患者病程的長短、年齡的大小、胸水量的多少呈一定相關性。結論：胸膜活檢術具有操作簡單、創傷小、併髮癥風險低、費用少，重複性彊，安全可靠等特點，是診斷結覈胸膜炎敏感性及特異性較高的手段，值得在臨床上推廣。
목적：탐토흉막활검술대우결핵성흉막염적진단의의급기가능적영향인소。방법：대2008년5월-2012년6월인흉강적액재본원호흡과주원치료적133례환자적림상자료진행회고성분석，탐토경피흉막천자활검술대우진단결핵성흉막염적림상의의，병분석가능영향기양성솔적인소。결과：133례환자중진단위결핵성흉막염자103례（77.44%）；병리이급성기，전형증생，결핵육아종개변혹자간락양배사개변위주자70례（67.96%）；병리출현만성기，정섬유증생등비특이성염증개변자29례（28.16%）；흉막활검적차수가이제고진단적양성솔；흉막활검적양성솔여환자병정적장단、년령적대소、흉수량적다소정일정상관성。결론：흉막활검술구유조작간단、창상소、병발증풍험저、비용소，중복성강，안전가고등특점，시진단결핵흉막염민감성급특이성교고적수단，치득재림상상추엄。
Objective:To evaluate the clinical diagnostic value of pleural biopsy in Tuberculous pleurisy and the probable influential factor. Method:133 patients with pleural effusion in hospital from 2008 May to 2012 June were retrospectively analyzed. The clinical diagnostic value of pleural biopsy in Tuberculous pleurisy and the probable influential factor of the positive result were be observed. Result:103 cases were diagnosed of tuberculous pleurisy in 133 patients(77.44%),There were about 70(67.96%)patients with the pathological results in acute period,atypical hyperplasia, tuberculosis granuloma or dry contact necrosis.29 patients with the pathological results in chronic period,a fiber hyperplasia non-specific inflammation (28.16%).At the same time,increase the number of times of pleural biopsy could improve the positive rate of diagnosis;Positive rate and severity in patients with pleural biopsy length,the size of the age,the amount of water in a certain correlation between the chest. Conclusion:The biopsy of pleura is a specific means of inspection,a simple,less invasive,fewer complication ,less express,repeatable and safe method.It also has high sensitivity and specificity in the diagnostic value of pleural effusion. It is worth in clinical practice.
