当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
24期
140-141
,共2页
电视胸腔镜%胸腔积液%经皮穿刺
電視胸腔鏡%胸腔積液%經皮穿刺
전시흉강경%흉강적액%경피천자
Video - assisted thoracoscopic%Pleural effusion%Percutaneous
目的：探讨电视胸腔镜在胸腔积液诊治中的临床作用。方法对英德市人民医院134例术后证实为胸腔积液的患者分别进行经皮穿刺活检及电视胸腔镜胸膜活检及治疗，观察2组检查方法的敏感性及电视胸腔镜诊治的作用。结果经皮穿刺取材成功率为91.9%，诊断的敏感性为82.8%，电视胸腔镜下取材成功率为100%，活检结果肺癌97例，其中腺癌55例，鳞癌30例，小细胞肺癌12例；恶性间皮瘤7例；乳腺癌术后胸腔内转移并胸腔积液8例；结核性胸腔积液22例，诊断敏感性为100%，电视胸腔镜下活诊断胸腔积液诊断敏感度显著高于经皮穿刺，差异有统计学意义（χ2=25.159，P<0.001）。134例经由电视胸腔镜诊治后患者均治愈出院，胸腔引流管放置时间（5.6±1.9）d，术后随访12～26月，未发现死亡病例。结论电视胸腔镜诊断胸腔积液敏感性、特异性高，并可针对性对胸腔积液进行有效治疗，为后续的放化疗支持。
目的：探討電視胸腔鏡在胸腔積液診治中的臨床作用。方法對英德市人民醫院134例術後證實為胸腔積液的患者分彆進行經皮穿刺活檢及電視胸腔鏡胸膜活檢及治療，觀察2組檢查方法的敏感性及電視胸腔鏡診治的作用。結果經皮穿刺取材成功率為91.9%，診斷的敏感性為82.8%，電視胸腔鏡下取材成功率為100%，活檢結果肺癌97例，其中腺癌55例，鱗癌30例，小細胞肺癌12例；噁性間皮瘤7例；乳腺癌術後胸腔內轉移併胸腔積液8例；結覈性胸腔積液22例，診斷敏感性為100%，電視胸腔鏡下活診斷胸腔積液診斷敏感度顯著高于經皮穿刺，差異有統計學意義（χ2=25.159，P<0.001）。134例經由電視胸腔鏡診治後患者均治愈齣院，胸腔引流管放置時間（5.6±1.9）d，術後隨訪12～26月，未髮現死亡病例。結論電視胸腔鏡診斷胸腔積液敏感性、特異性高，併可針對性對胸腔積液進行有效治療，為後續的放化療支持。
목적：탐토전시흉강경재흉강적액진치중적림상작용。방법대영덕시인민의원134례술후증실위흉강적액적환자분별진행경피천자활검급전시흉강경흉막활검급치료，관찰2조검사방법적민감성급전시흉강경진치적작용。결과경피천자취재성공솔위91.9%，진단적민감성위82.8%，전시흉강경하취재성공솔위100%，활검결과폐암97례，기중선암55례，린암30례，소세포폐암12례；악성간피류7례；유선암술후흉강내전이병흉강적액8례；결핵성흉강적액22례，진단민감성위100%，전시흉강경하활진단흉강적액진단민감도현저고우경피천자，차이유통계학의의（χ2=25.159，P<0.001）。134례경유전시흉강경진치후환자균치유출원，흉강인류관방치시간（5.6±1.9）d，술후수방12～26월，미발현사망병례。결론전시흉강경진단흉강적액민감성、특이성고，병가침대성대흉강적액진행유효치료，위후속적방화료지지。
Objective To explore the clinical application of VATS in the diagnosis and treatment of pleural effusion.Methods 134 cases patients with postoperative pleural effusion were confirmed and cured by separately percutaneous biopsy and video-assisted thoracoscopic pleural biopsy, sensitivity and the role of video-assisted thoracoscopic were observed.Results Percutaneous obtain material success rate was 91.9%,the diagnostic sensitivity was 100%. VATS obtain material success rate was 100%,lung was 97 cases,and 55 cases adenocarcinoma, 30 cases squamous cell carcinoma, 12 cases small cell lung cancer,7 cases malignant mesothelioma,8 cases breast cancer metastasis and pleural effusion, 22 cases tuberculous pleural effusion,the sensitivity was 100% . the Pleural effusion diagnostic sensitivity of VATS was significantly highly than Percutaneous (χ2=25.159,P<0.001).134 patients were cured after treatment by VATS,the placement time of chest tube was (5.6 ± 1.9) d,it does not appear deaths by Postoperative follow-up 12-26 months.Conclusion It has high specificity and sensitivity that VATS was used in the diagnose of pleural effusionwhich is purposiveness for the treatment of pleural effusion, and was provided support t for subsequent chemotherapy.
