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目的探讨经皮胸膜活检对胸腔积液病因诊断的价值和安全性。方法回顾性分析86例胸腔积液行闭式胸膜活检患者的临床资料。结果经皮胸膜活检成功率为95.3%,直接明确病因诊断的共57例,确诊率为66.3%,其中结核性胸膜炎阳性率为91.3%,恶性胸腔积液的阳性率48.4%,发生胸膜反应3例,气胸1例。结论经皮胸膜活检操作简单、易行、创伤小、安全、阳性率高,对胸腔积液的诊断具有较高价值
Objective To investigate the value and safety of percutaneous pleural biopsy in the diagnosis of pleural effusion. Methods A retrospective analysis of 86 cases of pleural effusion closed pleural biopsy in patients with clinical data. Results The success rate of percutaneous pleural biopsy was 95.3%. The direct diagnosis of etiology was 57 cases, the diagnosis rate was 66.3%. The positive rate of tuberculous pleurisy was 91.3%, and the positive rate of malignant pleural effusion was 48.4%. Pleural reaction 3 Cases, pneumothorax in 1 case. Conclusion Percutaneous pleural biopsy is simple and easy to operate with less trauma, more safety and higher positive rate. It is of great value in the diagnosis of pleural effusion