农垦医学
農墾醫學
농은의학
AGRICULTURAL RECLAMATION MEDICINE
2014年
2期
114-116
,共3页
荣艳%尹冬梅%凌敏%苟安栓
榮豔%尹鼕梅%凌敏%茍安栓
영염%윤동매%릉민%구안전
胸膜刷检%渗出性胸腔积液%失败原因
胸膜刷檢%滲齣性胸腔積液%失敗原因
흉막쇄검%삼출성흉강적액%실패원인
目的：分析渗出性胸胸腔积液行胸膜刷检，部分操作失败，分析其原因，总结教训以提高胸膜刷检成功率。方法：对87例渗出性胸腔积液患者，进行闭式胸膜活检术联合胸膜刷检术。结果：87例患者，胸膜活检113次，成功率92.9％(105/113)，胸膜刷检112次，成功率仅73.2%(82/112)，胸膜刷检操作成功率明显低于胸膜活检，差异有统计学意义(0.05)。30次未成功的胸膜刷检中，19次因细胞刷未能紧贴胸壁，未取到胸膜组织细胞而致操作失败；6次因胸水量大，操作时无法一次将胸水放干净，而致操作失败；另有5次刷检结果仅见红细胞。结论：胸膜刷检在临床中有操作简单、病人耐受性好、取材范围广等优势，在操作中应不断总结经验教训，逐渐提高胸膜刷检操作成功率，从而发挥它在渗出性胸腔积液病因诊断中的价值。
目的：分析滲齣性胸胸腔積液行胸膜刷檢，部分操作失敗，分析其原因，總結教訓以提高胸膜刷檢成功率。方法：對87例滲齣性胸腔積液患者，進行閉式胸膜活檢術聯閤胸膜刷檢術。結果：87例患者，胸膜活檢113次，成功率92.9％(105/113)，胸膜刷檢112次，成功率僅73.2%(82/112)，胸膜刷檢操作成功率明顯低于胸膜活檢，差異有統計學意義(0.05)。30次未成功的胸膜刷檢中，19次因細胞刷未能緊貼胸壁，未取到胸膜組織細胞而緻操作失敗；6次因胸水量大，操作時無法一次將胸水放榦淨，而緻操作失敗；另有5次刷檢結果僅見紅細胞。結論：胸膜刷檢在臨床中有操作簡單、病人耐受性好、取材範圍廣等優勢，在操作中應不斷總結經驗教訓，逐漸提高胸膜刷檢操作成功率，從而髮揮它在滲齣性胸腔積液病因診斷中的價值。
목적：분석삼출성흉흉강적액행흉막쇄검，부분조작실패，분석기원인，총결교훈이제고흉막쇄검성공솔。방법：대87례삼출성흉강적액환자，진행폐식흉막활검술연합흉막쇄검술。결과：87례환자，흉막활검113차，성공솔92.9％(105/113)，흉막쇄검112차，성공솔부73.2%(82/112)，흉막쇄검조작성공솔명현저우흉막활검，차이유통계학의의(0.05)。30차미성공적흉막쇄검중，19차인세포쇄미능긴첩흉벽，미취도흉막조직세포이치조작실패；6차인흉수량대，조작시무법일차장흉수방간정，이치조작실패；령유5차쇄검결과부견홍세포。결론：흉막쇄검재림상중유조작간단、병인내수성호、취재범위엄등우세，재조작중응불단총결경험교훈，축점제고흉막쇄검조작성공솔，종이발휘타재삼출성흉강적액병인진단중적개치。
Objective:To analyse reasons for failed pleural brushing in exudative pleural effusions,And summarize lessons to improve success rate of pleural brushing.Methods:The pleural biopsy and pleural brushing was performed in 87 patients suffering from exudative pleural effusions.Results:Total 113 times pleural biopsy were completed in 87 patients, the puncture success rate was 92.9%(105/113). Total 112 times pleural brushing were also completed in this group, brushes examines success rate was 73.2%(82/112), the differences of success rate between pleural biopsy and pleural brushing was statistical significance (P<0.05). Pleural brushing operation failed 30 times, including 19 times for cells brush failed to close the chest , 6 times for a lot of pleural effusion,and other 5 times for only red blood cells.Conclusion: Pleural brushing has a lot of advantages in clinical practice, such as simple operation, good tolerance, wide operation range.We should constantly sum up experience and lessons, and gradually improve the success rate of pleural brushing ,playing it diagnosis value in exudative pleural effusion.
