论文部分内容阅读
目的探讨内科胸腔镜对于不明原因胸腔积液诊治中的临床应用价值。方法 我科2008年10月至2011年5月期间203例经过胸腔积液细胞病理和胸膜活检术仍不能确诊的胸腔积液患者进行胸腔镜检查。结果 经内科胸腔镜明确诊断的病例数为172,占84.73%,其中确诊为肿瘤82例,占40.39%,其中肺腺癌75例,占36.95%,小细胞肺癌2例,占0.99%,鳞癌1例,占0.49%,肾癌胸膜转移1例,占0.49%,乳腺癌胸膜转移2例,占0.99%,非何杰金氏淋巴瘤1例,占0.49%,胸膜间皮瘤为20例,占9.85%,结核70例,占34.48%,慢性非特异性炎伴或不伴间皮细胞增生31例,占10.34%,同时本组病例未见严重并发症。结论 内科胸腔镜对于不明原因胸腔积液的诊断是一种安全、简便、诊断率阳性高的方法,值得临床推广。
Objective To investigate the clinical value of medical thoracoscopy in the diagnosis and treatment of unexplained pleural effusion. Methods From October 2008 to May 2011, 203 cases of pleural effusion were retrospectively analyzed by pleural effusion cytopathology and pleural biopsy. Results The number of cases diagnosed by medical thoracoscopy was 172 (84.73%), of which 82 were diagnosed as tumors (40.39%), 75 of them were lung adenocarcinomas (36.95%), 2 were small cell lung carcinomas (0.99%), 1 case of cancer, accounting for 0.49%, 1 case of renal cell carcinoma pleural metastasis, accounting for 0.49%, 2 cases of breast cancer pleural metastasis, accounting for 0.99%, 1 case of non-Hodgkin’s lymphoma, accounting for 0.49%, pleural mesothelioma 20 Cases, accounting for 9.85%, tuberculosis 70 cases, accounting for 34.48%, chronic non-specific inflammation associated with or without mesothelial cell proliferation in 31 cases, accounting for 10.34%, while no serious complications in this group of patients. Conclusion The diagnosis of unexplained pleural effusion is a safe, simple and high-positive diagnostic method for medical thoracoscopy, which is worthy of clinical promotion.