摘要
目的:探讨胸膜活检对胸腔积液病因诊断的价值。方法:对127例胸腔积液患者行首次胸膜活检术。结果:127例患者获取胸膜组织125例,穿刺成功率98.4%,经病理检查有41例为正常胸膜组织,特异性病理诊断84例,病理诊断阳性率(67.2%)。恶性胸腔积液胸膜活检阳性38例(45.2%),结核性胸腔积液胸膜活检阳性31例(36.9%),非特异性炎15例(17.9%)。38例恶性肿瘤经免疫组织化学和特殊染色分类,腺癌27例,小细胞肺癌2例,鳞癌2例,恶性间皮瘤2例,转移癌3例,淋巴瘤1例,未分化癌1例。发生并发症者4例(3.1%),全部为气胸,肺压缩均小于15%,未做特殊处理数日后自行吸收。结论:胸膜活检是一项安全、简单、有效的胸膜疾病的重要的内科确诊手段。
Objective：To explore the value of pleural biopsy in the etiological diagnosis of pleural effusion.Methods：We performed the first time pleural biopsy in 127 patients suffering from pleural effusion.Results：One-hundred and twenty-five pleural tissues were obtained while 127 patients were performed pleural biopsy.The success rate of puncture was 98.4%.The positive rate of pathological diagnosis was 67.2%（84/125）.Among these were 38 cases malignant pleural effusion（45.2%）,31 cases tuberculous pleural effusion（36.9%） , 15 cases non-specific inflammarion （17.9%）. It was confirmed that 27 cases adenocarcinoma, 2 cases small cell lung cancer, 2 cases of squamous cell carcinoma, 2 cases malignant mesothelioma, 3 cases metastatic carcinoma, 1 case lymphoma, and 1 cases undifferentiated carcinoma were among the 38 cases malignant tumors by immunohistochemical and special staining classification. Complications occurred in 4 patients （3.1%）, all as pneumothorax, and lung compression were less than 15%. It was absorbed by itself without any treatment after a few days. Conclusion： The pteural biopsy is a safe, simple, effective mean of medical diagnosis in pleural disease.
出处
《华西医学》
CAS
2009年第8期2018-2020,共3页
West China Medical Journal
关键词
胸膜活检
胸腔积液
pleural biopsy
pleural effusion
