用纤维支气管镜行胸腔检查──附7例分析

THORACOSCOPY WITH BKONCHOFIBERSCOPE-AN ANALYSIS OF 7 CASES

７例病人均为胸腔积液患者，经多种检查未获得明确诊断，采用纤维支气管镜行胸腔检查，诊断为弥漫性胸膜间皮瘤３例，胸膜转移癌２例，胸膜结核及非特导性炎症各１例。７例均得到组织学诊断。本文对纤支镜的消毒及操作技巧等问题进行了讨论，认为纤支镜直径小、柔软、能伸入胸腔细小的区域，且皮肤切口小，病人痛苦少，操作简单方便，对一般方法不能确诊的胸膜疾病是一个值得推广的检查方法。

cases with hydrothorax were diagnosed by thoracoscopy after various examinations without confirmation. 3 of them were confirmed with the diagnoses oj diffuse mesothelioma of Pleura,2 with metastatic carcinoma of Pleura,1 with Pleural tuberculosis and 1 with non-specific inflammation.All the cases were confirmed histologically. The reports also deals with the sterilization and operating strategies of the bronchofiberscope.It was Pointed out that the bronchofiberscope is a soft instrument with a small diameter.As a result,it was easy to operate and could reach some tiny areas of the thoracic cavity conveniently via a small incision in the skin,thus reducing the patient's sufferings.Thoracoscopy with bronchofiberscope is therefore to be popularized in the diagnosis of pleural diseases unconfirmed by routine examinations.