CAJ | 학술논문

目的：分析和研究内科胸腔镜检查对不明原因青壮年胸腔积液病源诊断的应用价值。方法采用回顾分析的方法，选取126例该院进行内科胸腔镜检查的不明原因胸腔积液患者，并将其随之分成对照组与试验组，每组各63例患者。对照组患者采用常规的微生物方法进行诊断，试验组患者采用内科胸腔镜的方法进行诊断，将试验组与对照组两组患者的临床检查的总有效率进行分析与对比。结果在126例患者中，试验组和对照组各63例患者，其中试验组中恶性胸腔积液症状吻合42例，完全吻合率达66.7%，对照组恶性胸腔积液症状吻合18例，完全吻合率达到28.5%；而试验组中良性胸腔积液症状吻合23例，完全吻合率达36.5%，而对照组中良性胸腔积液症状吻合10例，检查效果达到15.8%，检查效果上的差异有统计学意义（P<0.05）。结论通过试验证明，胸腔镜技术用于不明原因的胸腔积液的诊断检查上，具有显著的效果，在临床医学上具有不可估量的未来。
목적：분석화연구내과흉강경검사대불명원인청장년흉강적액병원진단적응용개치。방법채용회고분석적방법，선취126례해원진행내과흉강경검사적불명원인흉강적액환자，병장기수지분성대조조여시험조，매조각63례환자。대조조환자채용상규적미생물방법진행진단，시험조환자채용내과흉강경적방법진행진단，장시험조여대조조량조환자적림상검사적총유효솔진행분석여대비。결과재126례환자중，시험조화대조조각63례환자，기중시험조중악성흉강적액증상문합42례，완전문합솔체66.7%，대조조악성흉강적액증상문합18례，완전문합솔체도28.5%；이시험조중량성흉강적액증상문합23례，완전문합솔체36.5%，이대조조중량성흉강적액증상문합10례，검사효과체도15.8%，검사효과상적차이유통계학의의（P<0.05）。결론통과시험증명，흉강경기술용우불명원인적흉강적액적진단검사상，구유현저적효과，재림상의학상구유불가고량적미래。
Objective To analyze and study the application value of medical thoracoscopy in the diagnosis of young adults with pleural effusion caused by unknown reasons. Methods A retrospective analysis method was used. 126 cases of patients with pleu-ral effusion caused by unknown reasons underwent medical thoracoscopy in our hospital from February, 2012 to June, 2013 were selected and divided into the control group and the experimental group, with 63 patients in each. Patients in the control group were diagnosed by conventional microbiological method, and those in the experimental group were diagnosed by medical thoracoscopy. The total effective rate of clinical examination of these two groups of patients was analyzed and compared. Results Of the 126 pa-tients including the 63 patients in the experimental group and 63 patients in the control group, the symptoms of malignant pleural effusion in the experimental group coincided in 42 cases, the complete consistent rate was 66.7%, the symptoms of malignant pleural effusion in the control group coincided in 18 cases, the complete consistent rate reached 28.5%;in the experimental group, benign pleural effusion symptoms coincided in 23 cases, the complete consistent rate was 36.5%, while in the control group, the symptoms of benign pleural effusion coincided in 10 cases, the complete consistent rate reached 15.8%, the difference in detection effect between the groups was statistically significant (P<0.05). Conclusion Proved by tests, thoracoscopic technique has remark-able effect on the diagnosis of pleural effusion caused by unknown reasons, and it has the inestimable in clinical medicine in the future.