影像增强透视下行胸腔积液抽吸治疗的临床意义

Application of Image Intensification Fluoroscopy in Thoracocentesis of Hydrops of Cavum Thoracis

目的:评价影像增强技术在胸腔积液穿刺抽吸治疗中的临床应用价值。方法:对70例胸腔积液患者在影像增强透视监视下确定穿刺点后行胸腔穿刺抽吸治疗。结果:70例中68例一次性穿刺成功且顺利抽吸积液,2例病人因中途出现“胸膜反应”未成功。结论:影像增强透视下行胸腔穿刺抽吸积液较传统临床方法显示更清晰,更直观,更安全,且成功率高。避免了临床操作的盲目性,而且对早期诊断胸水性质也有极大的帮助。

Objective： To evaluate the applied value of image intensification fluoroscopy（IIFS） in thoracocentesis of hydrops of cavum thoracis （HCT）. Methods： 70 patients with HCT,by llFS,underwent thoracocentesis after determining the puncture point. Results： Among the 70 patients, 68 were successfully operated by suction only once, 2 tailed in thoracocentesis because of halfway pleural reaction. Conclusion： Performing thoracocentesis by llFS is clearer, safer,more visual, and more successful than traditional method,avoiding blindness in clinical operation, which is helpful for the early diagnosis of property of hydrothorax.