摘要
目的:探讨纤维支气管镜代替胸腔镜对原因不明胸腔积液(胸水)病因的诊断价值。方法:在局麻下用纤支镜行开放式胸腔检查术,可全面检查胸膜腔和肺,并取活检。结果:25例病因诊断不明的胸水中.23例确诊,确诊率为92％。其中胸膜间皮瘤2例,肺癌胸膜转移16例,乳腺癌胸膜转移3例,胸膜结核2例。结论:局麻下用纤支镜代替胸腔镜检查创伤小,诊断率高,操作简便、安全,并发症少,值得临床推广应用。
Objective: To probe into the value of fiberbronchoscope in diagnosis of pleural effusion of unknown origin instead of thoracoscope. Method: The entire chest cavities and lungs of 25 patients with pleural effusion of unknown origin were examined by fiberbronchoscopy and then the pleural biopsy was made under local anesthesia. Result: Among 25 subjects, 23 ones were determined with pleural effusion, including 19 cases of pleural carcino-matosis, 2 cases of pleural malignant mesothelioma, and 2 cases of pleural tuberculosis. The determined rate was 92%. Conclusion: Through fiberbronchoscope, the pleural cavities could be observed clearly and biopsy specimen could be taken easily under direct visualization. At the same times, the performance procedure of fiberbronchoscopy was safe and simple under local anesthesia and it should be applied clinically in pleural cavity examination.
出处
《西南国防医药》
CAS
2002年第5期400-401,共2页
Medical Journal of National Defending Forces in Southwest China
关键词
纤维支气管镜
胸腔镜
胸腔积液
fiberbronchoscope, pleural effusion, diagnosis
