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用硬式冷光源胸腔镜在24例病因不明的肺和胸膜疾病患者作胸腔镜检查,总诊断率为83.3%(20/24).在经内窥镜直视活检的19例中,胸腔积液14例和胸部肿块5例的92.9%(13/14)和60%(3/5)得到病理确诊。在其余5例自发性气胸的诊断率为80%,其中1例经内窥镜用Nd-YAG激光治愈。术后有短暂发热15例,局限性皮下气肿6例。本法安全、可靠,对肺和胸膜疾病的诊断和治疗有较高实用价值。
Twenty-four patients with unexplained lung and pleural disease who underwent thoracoscopy were treated with hard cold light source thoracoscopy. The total diagnostic rate was 83.3% (20/24). Among the 19 patients who underwent endoscopic biopsy, pleural effusion was performed. Of the 14 cases and 5 cases of thoracic masses, 92.9% (13/14) and 60% (3/5) were pathologically confirmed. The diagnosis rate of spontaneous pneumothorax in the other 5 cases was 80%, and 1 case was cured by endoscopic Nd-YAG laser. There were 15 cases of postoperative fever and 6 cases of localized subcutaneous emphysema. This method is safe and reliable, and has high practical value in the diagnosis and treatment of lung and pleural diseases.