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目的分析内科胸腔镜在胸腔积液患者中的临床应用效果。方法选取在河南科技大学第一附属医院呼吸科进行治疗的97例胸腔积液患者,探讨胸腔镜在胸腔积液患者中的诊断及临床治疗效果。结果患者在内科胸腔镜检查下,确诊率为93.81%,其中患有结核性胸膜炎的患者占67.5%,患有恶性疾病的患者占23.71%;结核组患者的ADA水平(42.4±13.9)U/L显著高于恶性组的(42.4±13.9)U/L,结核组患者的CEA水平为(1.3±0.5)ug/L,显著低于的恶性组患者,差异具有统计学意义(P<0.05)。结论胸腔积液患者采用内科胸腔镜进行诊断和治疗在临床上取得了令人满意的效果,内科胸腔镜是一种安全可靠的技术,在临床上可推广运用。
Objective To analyze the clinical effect of medical thoracoscopy in patients with pleural effusion. Methods A total of 97 patients with pleural effusion who were treated in Department of Respiratory Medicine, the First Affiliated Hospital of Henan University of Science and Technology were enrolled in this study. The diagnostic and clinical effects of thoracoscopy in pleural effusion were investigated. Results In the medical thoracoscopy, the diagnosis rate was 93.81%, of which 67.5% had tuberculous pleurisy and 23.71% had malignant disease. The ADA level in tuberculosis patients was 42.4 ± 13.9 U / L was significantly higher than that of the malignant group (42.4 ± 13.9) U / L, and CEA level was (1.3 ± 0.5) ug / L in the tuberculosis group. The difference was statistically significant (P 0.05) . Conclusion Pleural effusion in patients with medical thoracoscopy for diagnosis and treatment clinically achieved satisfactory results, medical thoracoscopy is a safe and reliable technology that can be clinically promoted.