胸腔镜在胸膜疾病的诊断价值

目的内科胸腔镜对170例胸膜疾病病例进行检查,以评价其临床应用价值。方法采用内科胸腔镜检查,并常规作胸膜活检。结果170例胸腔积液病人胸腔镜诊断:结核性胸膜炎62例,转移性胸膜肿瘤70例,原发性胸膜肿瘤8例,脓胸10例,非特异性胸膜炎20例。胸膜组织学和细胞学结果:结核性胸膜炎(结核结节)62例,转移性胸膜肿瘤72例,其中鳞癌20例,腺癌50例(其中肺泡细胞癌10例)侵袭性胸腺瘤1例,淋巴细胞性白血病胸膜浸润1例,胸膜间皮瘤7例,非特异性炎症改变17例,化脓性炎症改变10例,且无严重并发症发生。结论内科胸腔镜检查在临床胸膜疾病诊治中有实用价值。

Objective To evaluate the clinical value in disease of pleura with thoracoscope. Methods 170 cases of disease of Pleura were (dignosised) through thoracoscope and biopsied for pleura in routine. Results The diagnosis of 170 patients of pleural effusion were tuberculous pleuritis in 62 cases, pleura metastasis tumor in 70 cases, pleura primary tumor in 8 cases, empyema in 10 cases, nonspecific pleuritis in 20 cases. While the result of (histology) and cytology indicated that tuberculous pleuritis in 62 cases, pleura metastasis tumor in 72 cases(squamous in 20 cases, adenocarcinoma in 50 cases, invasive thymoma in 1 case, lymphocytic leukemia in 1 case),mesothelioma of pleura in 7 cases, nonspecific inflammation in 17 cases, (suppurative) (inflammation) in10 cases. There is no significance between thoracoscope and histology and cytology for Diagnosis coincidence in the disease of pleura. (Conclusion) It is more practical value for thoracoscope to diagnosis the disease of pleura.