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本文通过尸检和胸腔镜检以及细胞形态学检查,就恶性胸水中葡萄糖和pH 值的诊断意义及其在判断胸膜固定术预后上的作用,进行了前瞻性研究.在116例胸腔镜检的病人中,诊断为胸膜腔肿瘤者共77例,其中最常见的是肺癌,其次为乳腺癌.组织学分型表明,绝大多数为腺癌.77例中16例胸水的葡萄糖含量<60mg/dl(低值),其中14例胸水细胞学检查阳性者;61例葡萄糖值>60mg/dl(高值),细胞学检查阳性者30例(p<0.006).胸水pH<7.30(低值)者18例;其中14例细胞学检查阳性;pH 高于此值(高值)者46例,其中22例细胞学检查阳性(p<0.03).葡萄糖和pH 值均为低值者10例,细胞学
This article through the autopsy and thoracoscopy and cytomorphological examination, on the significance of the diagnosis of malignant pleural effusion glucose and pH and its role in the prognosis of pleurodesis, a prospective study. In 116 patients undergoing thoracoscopy In the diagnosis of pleural cavity tumors, a total of 77 cases, of which the most common is lung cancer, followed by breast cancer. Histological classification showed that the vast majority of adenocarcinoma. 77 cases of 16 cases of pleural effusion glucose <60mg/dl ( Low values), of which 14 cases were positive for pleural effusion cytology; 61 cases had a glucose value >60 mg/dl (high value); 30 cases had a positive cytology test (p<0.006). Pleural fluid pH<7.30 (low value) were 18 Cases; 14 of them were cytologically positive; 46 were higher than this value (high value), of which 22 were cytologically positive (p < 0.03). 10 were low glucose and pH, cytology