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胸腔镜检查在胸腔积液诊断中的价值 被引量:27

The Value of thoracoscopy in the diagnosis of pleural effusion
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摘要 目的 评价胸腔镜检查对疑难胸腔积液的诊断价值。 方法  4 5例胸腔积液行胸腔镜检查 ,直视下取病变组织行病理检查。 结果 确诊胸膜转移癌 2 5例 ,胸膜间皮瘤 1例 ,胸膜结核 4例 ,结节病 1例 ,非特异性炎症 10例 ,胸腔镜诊断率为 91.1% (41/ 4 5 )。胸膜间皮瘤、转移癌、结核性胸膜炎胸腔镜下形态不同。无严重并发症。 结论 胸腔镜检查对胸腔积液是一种安全、有效、诊断率高的检查手段。 Objective To evaluate the value of thoracoscopy in the diagnosis ot pleural effussion. Methods 45 cases of pleural effussion were exeamined by thoracoscopy, biopsy took place in the abnormal pleurae under thoracoscopy. Results Positive rate was 91.1% (41/45) under thoracoscopy.The morphology of pleural mesothelioma, metastatic carcinoma and tuberculous pleurisy was different. No serious complication occurred in all cases. Conclusions Thoracoscopy is a safe and effective procedure in the diagnosis of pleural effussion.
出处 《中国微创外科杂志》 CSCD 2002年第5期307-308,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 胸腔镜检查 胸腔积液 诊断 价值 Pleural effusion Thoracoscopy
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参考文献6

  • 1Boutin C, Viallat JR, Cargnino P, et al. Thoracoscopy in malignant pleural effusions. Am Rev Respir Dis, 1981, 124:588-592.
  • 2Loddenkemper R, Boutin C. Thoracoscopy: present-diagnostic and therapeutic indications. Eur Respir J, 1993,6:1544-1555
  • 3Menzis R, Charbonnean M. Thoracoscopy for the diagnosis of pleural disease. Ann Intern Med, 1992;114:271-276.
  • 4张敦华,钮善福,屠春林,陈英男.胸腔镜检术对胸腔积液病因的诊断和治疗价值[J].中华内科杂志,1996,35(6):367-370. 被引量:38
  • 5Loddenkemper R. Prospective individual comparison of blind needle biopsy and of thoracoscopy in the diagnosis and differential diagnosis of tuberculous pleurisy. Scand J Respir Dis, 1978;102(suppl):196-198.
  • 6Mathur P, Martin WJ. Clinical utility of thoracoscopy. Chest, 1992,102:3-4.

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