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目的探讨内科胸腔镜在胸膜疾病诊断中的应用价值。方法对20例通过胸腔积液常规、生化、微生物学及细胞学等实验室检查不能明确病因的胸膜疾病患者进行内科胸腔镜检查。结果20例胸膜疾病患者中恶性肿瘤7例(35%),结核9例(45%),慢性炎症3例(15%),未见病变组织未取活检者1例(5%)。术后疼痛及发热各1例,未发生其他严重不良事件。结论内科胸腔镜是一项简单、安全、有效的检查方法,有助于明确胸膜疾病的病因,特别是不明原因的胸腔积液。
Objective To investigate the value of medical thoracoscopy in the diagnosis of pleural disease. Methods Twenty patients with pleural disease who did not have definite etiology by routine, biochemical, microbiological and cytological laboratory tests of pleural effusion were underwent medical thoracoscopy. Results Twenty patients (35%) had malignant pleural disease, 9 (45%) had tuberculosis, and 3 (15%) had chronic inflammation. No patient had any biopsy in 1 patient (5%). Postoperative pain and fever in 1 case, no other serious adverse events. Conclusion The medical thoracoscopy is a simple, safe and effective method to check the etiology of pleural diseases, especially for unexplained pleural effusion.