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自1996年12月～1998年12月间,对28例反复出现大量胸腔积液的患者,通过痰细胞学检查、支气管纤维镜活检、胸液细胞学检查、胸腔穿刺胸膜活检术均无法取得明确的病理诊断。应用电视胸腔镜,直视下行胸膜多处活检,并经胸腔镜下行胸膜腔闭锁术,临床效果满意。疗效均达到国家1978年制定的恶性胸水疗效评定完全缓解(CR)及部分缓解(PR)标准。结果:通过胸腔镜对不明原因的胸腔积液病理诊断阳性率高,创伤小,并发症少,结合胸腔内喷洒药物使胸膜粘连,胸腔闭锁,胸水复发率低。因此是对不明原因胸积液诊断及治疗的重要手段,减少剖胸探查率,并直接影响治疗方案。
From December 1996 to December 1998, 28 patients with recurrent pleural effusion, sputum cytology, bronchial fiberoptic biopsy, pleural fluid cytology, chest pleural biopsy were unable to obtain a clear Pathological diagnosis. Application of video-assisted thoracoscopy, direct pleural plethysmography multiple biopsy, and thoracoscopic pleural cavity atresia surgery, the clinical effect is satisfactory. Efficacy of the state reached in 1978 established the evaluation of malignant pleural effusion complete remission (CR) and partial remission (PR) standards. Results: The positive rate of thoracoscopic pleural effusion pathological diagnosis of unexplained pleural effusion, trauma, fewer complications, combined with intrapleural drug spraying pleural adhesions, thoracic atresia, pleural effusion recurrence rate is low. Therefore, it is an important means for the diagnosis and treatment of unexplained pleural effusion to reduce the detection rate of thoracotomy and directly affect the treatment plan.