CAJ | 학술논문

目的：探讨内科胸腔镜在提高胸腔积液诊断率中的临床应用价值。方法回顾性分析275例胸腔积液患者的相关临床资料，评估胸腔积液细胞学以及内科胸腔镜检查对胸腔积液的诊断率。结果内科胸腔镜对良性胸腔积液的诊断灵敏感（80．00％）与胸水细胞学检查的灵敏度（85．00％）比较差异无统计学意义（χ2＝1．813，P ＝0．178）。两种方法对胸腔积液诊断的特异度均为100％；内科胸腔镜检查对恶性胸腔积液诊断的灵敏度（86．10％）显著高于胸水细胞学检查（54．01％）（χ2＝45．883，P ＜0．001）。结论内科胸腔镜能明显提高胸腔积液的诊断率，尤其是对于恶性胸腔积液，具有较高的临床应用价值。
목적：탐토내과흉강경재제고흉강적액진단솔중적림상응용개치。방법회고성분석275례흉강적액환자적상관림상자료，평고흉강적액세포학이급내과흉강경검사대흉강적액적진단솔。결과내과흉강경대량성흉강적액적진단령민감（80．00％）여흉수세포학검사적령민도（85．00％）비교차이무통계학의의（χ2＝1．813，P ＝0．178）。량충방법대흉강적액진단적특이도균위100％；내과흉강경검사대악성흉강적액진단적령민도（86．10％）현저고우흉수세포학검사（54．01％）（χ2＝45．883，P ＜0．001）。결론내과흉강경능명현제고흉강적액적진단솔，우기시대우악성흉강적액，구유교고적림상응용개치。
Objective To investigate the clinical value of medical thoracoscopy in improving the diagnostic accuracy for pleural effusion. Methods A retrospective analysis was performed on the clinical records of 275 patients with pleural effusion,and assessed the diagnostic accuracy of pleural effusion with cytology and medi-cal thoracoscopy. Results Medical thoracoscopy had a sensitivity of 80.00% in diagnosis of benign pleural effusion,compared to pleural fluid cytology of 85.00%,there was no statistically significant difference (χ2 =1.813,P =0.178).Both methods had specificity of 100% in diagnosis of pleural effusion.In diagnosis of ma-lignant pleural effusion,medical thoracoscopy had higher sensitivity of 86.10%,compared to pleural fluid cy-tology of 54.01%,there was statistically significant difference(χ2 =45.883,P <0.001). Conclusion Medi-cal thoracoscopy can significantly improve the diagnosis of pleural effusion,especially in malignant pleural effu-sion;it has a high clinical value.