CAJ | 학술논문

目的：探讨电子支气管镜代胸腔镜在胸腔积液中的诊断价值及安全性。方法回顾分析四川省遂宁市中心医院2010年5月至2012年6月55例胸腔积液患者进行电子支气管镜代胸腔镜诊断的临床资料，观察电子支气管镜代胸腔镜在胸腔积液中的诊断率及并发症。结果55例患者均顺利完成电子支气管镜代胸腔镜检查，经组织病理学确诊为结核39例，腺癌12例，鳞癌2例，2例未明确诊断。患者均无复张性肺水肿、脓胸、肺不张、大出血等严重并发症。结论电子支气镜代胸腔镜检查操作简单，对胸腔积液的诊断阳性率高，安全性好，值得临床推广。
목적：탐토전자지기관경대흉강경재흉강적액중적진단개치급안전성。방법회고분석사천성수저시중심의원2010년5월지2012년6월55례흉강적액환자진행전자지기관경대흉강경진단적림상자료，관찰전자지기관경대흉강경재흉강적액중적진단솔급병발증。결과55례환자균순리완성전자지기관경대흉강경검사，경조직병이학학진위결핵39례，선암12례，린암2례，2례미명학진단。환자균무복장성폐수종、농흉、폐불장、대출혈등엄중병발증。결론전자지기경대흉강경검사조작간단，대흉강적액적진단양성솔고，안전성호，치득림상추엄。
Objective To assess the diagnostic value and safety of electronic bronchoscope instead of thoracoscope for pleural ef-fusion.Methods The clinical data of 5 5 cases of electronic bronchoscope instead of thoracoscope in diagnosing pleural effusion in our hospital from May 2010 to June 2012 were retrospectively analyzed.The diagnostic rate and the comlications of electronic bron-choscope instead of thoracoscope for pleural effusion were observed.Results All cases were smoothly completed the electronic bronchoscopic examination instead of the thoracoscopic examination.3 9 cases of tuberculosis,1 2 cases of adenocarcinoma and 2 ca-ses of squamous carcinoma were definitely diagnosed by the histopathology,2 cases were unknown diagnosis.No Severe complica-tions of pulmonary edema,pleural empyema,atelectasis,massive hemorrhea,etc.ocurred during and after operation.Conclusion E-lectronic bronchoscope instead of thoracoscope is easy to operate and has high positive rate in diagnosing pleural effusion and good safety,which deserves to be promoted in clinic.