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目的:探讨内科胸腔镜对常规检查不能明确病因的胸腔积液的诊断价值。方法:82例原因不明胸腔积液患者,多次胸水细胞学检查,未能明确诊断行胸腔镜检查。结果:胸腔镜检查肿瘤性积液59例(71.95%),非肿瘤性胸水23例,病理诊断阳性率96.34%。术后无严重并发症发生。结论:内科胸腔镜检查诊断胸腔积液安全、有效、确诊率高。
Objective: To investigate the value of medical thoracoscopy in the diagnosis of pleural effusion which can not be clearly diagnosed by routine examination. Methods: 82 cases of unexplained pleural effusion patients, multiple pleural fluid cytology, failed to confirm the diagnosis of thoracoscopy. Results: Thoracoscopy in 59 cases (71.95%) of tumor effusion, 23 cases of non-tumor pleural effusion, the positive rate of pathological diagnosis was 96.34%. No serious postoperative complications occurred. Conclusion: Medical thoracoscopy diagnosis of pleural effusion is safe and effective, and the diagnosis rate is high.