CAJ | 학술논문

目的探讨内科胸腔镜对不明病因胸腔积液的诊断价值.方法回顾性分析我院呼吸内科2011-2013年2年内对108例病因不明的胸腔积液患者进行内科胸腔镜检查并行胸膜活检的过程、结果及安全性.结果 108例胸腔积液患者中的106例获得活检病理组织及病理诊断.其中结核性胸膜炎52例,恶性肿瘤45例,肺炎并胸膜炎3例,非特异性炎症6例,黏连严重未能活检2例.其诊断阳性率为92.6％.2例患者手术后并发气胸,其余患者手术中及术后无严重并发症.结论内科胸腔镜用于胸腔积液的病因诊断安全有效,诊断率高,具有较高的临床价值.
목적 탐토내과흉강경대불명병인흉강적액적진단개치.방법 회고성분석아원호흡내과2011-2013년2년내대108례병인불명적흉강적액환자진행내과흉강경검사병행흉막활검적과정、결과급안전성.결과 108례흉강적액환자중적106례획득활검병리조직급병리진단.기중결핵성흉막염52례,악성종류45례,폐염병흉막염3례,비특이성염증6례,점련엄중미능활검2례.기진단양성솔위92.6％.2례환자수술후병발기흉,기여환자수술중급술후무엄중병발증.결론 내과흉강경용우흉강적액적병인진단안전유효,진단솔고,구유교고적림상개치.
Objective To investigate the value of medical thoracoscopy in the diagnosis of pleural effusion of unknown etiology.Methods 108 patients with pleural effusion of unknown etiology were underwent medical thoracoscopy examinantion and biopsy for diagnosis in our hospital from 2011 to 2013.And the process,results,and safety were retrospectively analysed.Results The biopsy tissue and pathological diagnosis of 106 patients with pleural effusion were obtained,including 52 cases of tuberculous pleurisy,45 cases of malignant tumor,three cases of pneumonia with pleurisy,six cases of nonspecific inflammation.Two cases with serious pleural adhesions were failed to obtain biopsy tissue.The diagnostic positive rate was 92.6％.Two patients complicated with pneumothorax after the operation,the rest patients had no serious complications in and after the operation.Conclusions Medical thoracoscopy can be applied to diagnose the pleural effusion of unknown etiology and it is a safe method with higher diagnostic rate and clinical value.