摘要
本文报告３５例不明原因的胸肺疾患经胸腔镜检查确诊３０例，确诊率８５．７％。其中２６例患者给予经皮胸膜或肺活检，９例明确诊断，阳性率仅３４．６％，明显低于胸腔镜检查。认为对于胸膜和肺外围疾患，胸腔镜检查是一种容易、安全和有效的诊断手段，且阳性率较纤支镜高。对于４５岁以上非血性胸水也要警惕恶性病变，例行胸腔镜检查。
Thirtyfive patients with pleural and lung diseases of unknown origin were examined by thoracoscope, definite diagnosis were established in 30 cases, 85.7% positive results (30/35).Twentysix of 35 patients were performed needle biopsy for the pleural or lung, 9 were exactly diagnosed,34.6% only positive results(9/26), obviously lower than thoracoscopy. Reasons of 5 patients undiagnosed by thoracoscopy were analysed and complication is rare and minor. According to our opinion thoracoscopy is an easy and safe and effective, diagnostic measure and positive results is higher than bronchoscopy for the pleural and pulmonary surface lesions. In addition, malignancy must also be carefully considered in patients over 45 ages even though noblood pleural effusion, in whom thoracoscopy should be routinely performed.
出处
《内镜》
1995年第3期149-151,共3页
