摘要
本文报告60例不明原因胸膜腔积液病例,经穿刺胸膜活检病理诊断为结核阳性率67%(29/43),恶性肿瘤阳性率62.5%(10/16),总阳性率为65%(3/60)。大部分病例经一次穿刺活检得到确诊,个别经三次活检明确诊断。我们认为经皮穿刺胸膜活检术是一种阳性率较高、并发症少、简便安全便于普遍开展的诊断技术。
This article reports 60 patients with indeterminate cause of pleurorrheaundergoing closed pleural puncture biopsies. The to tal positive rate of pathologicaldiagnosis was 65%, in which 67% was T. B. (29/43) and 62. 5 % was malignanttumor(10/16). The majority of patients was diagnosed by once puncture and a fewby three times. We suggest that closed pleura puncture biopsy is a simple, higherpositive rate and lower side-effect, available technique in the diagnosis ofplenrorrhe?