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膈肌胸膜活检41例临床分析

The clinical analysis of 41 cases underwent diaphragm pleural biopsy
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摘要 目的探讨钳式胸膜活检套管针对膈肌胸膜活检的诊断价值和安全性。方法应用钳式胸膜活检套管针对41例胸腔积液患者进行膈肌胸膜活检。结果取材成功率为95.2%(39/41),病理诊断阳性率为70.7%(29/41)。发生人工气胸5例(12%),胸痛6例(14.6%),出血4例(9.7%),发热1例(2.4%),无气短和咯血者。结论钳式胸膜活检套管针进行膈肌胸膜活检是一种简单、安全、有效的胸膜活检方法。 Objective To evaluate the effectiveness and safety of forceps' pleural biopsy trocar in obtaining pleural tissue diaphragm. Methods Forty-one cases with pleural effusion with unknown etiology underwent diaphragm pleural biopsy by forceps' pleural biopsy trocar. Results The total successful rate of obtaining pleura| tissue was 95.2%(39/41). The positive rate of pathological diagnoses was 70.7%(29/41). Pneumothorax happened in 7 cases (17%), chest pain in 6 (14.6%), hemorrhage in 4 (9.7%) and fever in 1 (2.4%). Conclusions The method of diaphragm pleural biopsy with forceps' pleural biopsy trocar is simple, safe and effective.
出处 《北京医学》 CAS 2009年第11期672-674,共3页 Beijing Medical Journal
基金 河北省普通高等学校强势特色学科肿瘤学建设基金(编号2005-52)
关键词 胸腔积液 胸膜 套管针 活检钳 Pleural effusion Pleura Trocar Biopsy forceps
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