支气管镜代胸腔镜对病因不明胸腔积液的诊断价值

Diagnostic value of bronchoscope instead of thoracoscope for unidentified pleural effusion

目的研究支气管镜替代胸腔镜检查对原因不明胸腔积液的诊断价值和并发症。方法对胸水细胞学和胸膜活检未能明确诊断的疑似癌性胸腔积液患者27例,采用支气管镜替代胸腔镜检查。结果经组织病理学检查,诊断为腺癌12例,低分化癌6例,鳞癌4例,恶性胸膜间皮瘤2例,乳腺胸膜转移癌1例。2例未明确诊断。所有患者无严重并发症。结论支气管镜替代胸腔镜检查操作简单,费用较低,诊断阳性率高,并发症少,对恶性胸腔积液病因诊断有较高临床价值。

Objective To investigate the diagnostic value and complications of bronchoscope instead of thoracoscope in detecting unidentified pleural effusion. Methods Bronchoscope in the examination of 27 patients with unidentified malignant pleural effusion by pleural fluid cytology and biopsy of pleura. Results After histopathological examination, 12 cases were diagnosed as adencarcinoma, 6 poorly differentiated carcinoma, 4 squamaceous cell carcinoma, 2 malignancy celiothelioma and 2 unidentified in all 27 cases. All cases had no serious side effects. Conclusion Bronchoscope has obvious advantages in clinical diagnosis of malignant pleural effusion due to its convenience, low fee, low incidents of serious side effects and high diagnostic rate.