Y形单孔胸膜活检镜在胸腔积液诊疗中的临床价值(附42例报告)

Y-type Biopsic Thoracoscope for the Diagnosis and Treatment of Pleural Effusion:Report of 42 Cases

目的探讨Y形单孔电视胸膜活检镜(HOPKINS Thorascope)在胸腔积液诊疗中的临床价值。方法全麻下经Y形单孔胸膜活检镜(Storz 10 mm 0°)长臂探查胸腔,通过短臂操作孔钳取胸膜病变组织行病理检查,恶性者行胸膜固定术。结果确诊胸膜转移癌31例,胸膜间皮瘤4例,结核性胸膜炎3例,非特异性炎症2例,自发性乳靡胸1例,1例未确诊,确诊率为97.6%(41/42)。无严重并发症及手术死亡。结论Y形单孔胸膜活检镜应用于胸腔积液的诊疗具有安全、有效、省时和微创的特点,值得推广。

Objective To investigate the clinic value of Y-type biopsic thoracoscope（HOPKINS Thorascope）in the diagnosis and treatment of pleural effusion.Methods We examined patient＇s chest with the long arm of the Y-type biopsy thoracoscope under general anaesthesia,and then obtained lesion tissues for pathological examinations with the short arm.Pleurodesis procedure was then used for malignant diseases. Results Totally 31 patients were diagnosed with pleural metastatic tumor;4 patients were diagnosis as having mesothelioma;3 patients were confirmed with tuberculous pleurisy;and 2 were diagnosed with inflammatory;and 1 patient was diagnosed with spontaneous chylothorax;one patient＇s diagnosis was not determined.The diagnostic rate was 97.6%（41/42）.No severe complications or operative mortality occurred in the cases.Conclusion Y-type biopsic thoracoscopy is a safe,effective,time-saving and minimally invasive method for the diagnosis and treatment of pleural effusion.