单孔法胸腔镜诊断胸腔积液

Thoracoscopic diagnosis of pleural effussion with single incision

目的探讨单孔法胸腔镜胸膜活检诊断胸腔积液的临床应用价值。方法患者于全身麻醉双腔气管插管下,于腋中线7肋间做1.5cm切口,置入胸腔镜以及活检器械取组织送病理检查。结果97例患者中诊断恶性间皮瘤33例,转移肿瘤35例,结核性胸腔积液18例,为非特异性胸膜炎7例,白血病患者2例。6例未取得明确诊断。恶性结果给予胸膜固定。良性结果给予抗结核、抗炎、开胸等相应治疗。结论单切口胸腔镜是一种相对微创、准确高效的诊断胸腔积液的方法,为进一步治疗提供直接证据,是一种值得提倡的检查治疗手段。

[Objective] To study the value of diagnosis of pleural effussion. [Methods] The patients were intubed with general anaesthesia. We made a single incision at the 7th intercostal space, midaxillary line. Biopsy equipment and thoracoseopy were both intubed, taking organism for pathological replacement. [Results] 33 patients were diagnosed of celiothelioma;35 patients were diagnosised of metastatic tumour, 18 patients of tubercular effussion; and 7 patients of inflammatory; 2 of leucocythemia. Other with 6 patients without definite diagnosis. We adoptted Pleuropexy for celiothelioma and malignant tuberculosis. Heteropathy for the benign patients. [Conclusion] Thoracoscopic diagnosis of pleural effussion with single incision is effective method for use.