纤维支气管镜检查诊断胸腔积液原因分析121例

Fiberoptic bronchoscopy and the diagnosis of pleural effusion of 121 cases

目的 探讨纤维支气管镜检查 (FOB)对原因不明胸腔积液的诊断价值 ,并对其适应症作一讨论。方法 将胸腔积液患者分 4组 :按其患者有伴随症状如咯血 ,X线胸片有块影或浸润影 ,伴肺不张或积液同侧容量减少和唯一 X线表现者。再将仅有 X线胸片表现者据其量的多少分为大量、中等量和小量三组 ,将胸水常规生化及细胞学检查作为检出肺癌阳性率指标。结果 1 2 1例原因不明胸腔积液中 FOB检查阳性数是 4 2例。结论 胸腔积液伴咯血、肺部块影或浸润影、肺不张 ,作 FOB检查是十分必要的。少量和中等量胸腔积液而胸片上无其他征象时 ,或不伴咯血时 FOB价值小。

Objective To investigate fiberoptic branchoscopy and the diagnosis of pleural effusion.Methods 2 cases of pleural effusion were analyzed from Jan 1998 to Dec 2003 in Shanghai TCM intergrated Hospital and Shanghai First People's Hospital. These cases were divided into four groups: with or without complicatments and by different volume of effusion. Results 42 of 121 cases were diagnosed by FOB.Conclusion It is necessary to do FOB for those cases with haemoptysis, mass, infiltrations and atelectasis.in large volume of effusion, FOB may be helpful.