经皮胸膜活检在结核性胸膜炎诊断中的意义

The sense of pleural needle biopsy in diagnosis of tuberculous pleurisy

目的探讨经皮胸膜活检在结核性胸膜炎诊断中的意义。方法对62例结核性胸膜炎患者进行经皮胸膜活检与胸腔积液找抗酸杆菌检查,并对它们的阳性率作了比较,同时分析影响诊断阳性率的因素及其安全性。结果经皮胸膜活检的病理学阳性率为53.2%,与胸腔积液找抗酸杆菌的阳性率比较差异有统计学意义(=44.97,P<0.05);62例结核性胸膜炎患者中,年龄越小、血清超敏C-反应蛋白值越大、起病后早期进行胸膜活检可提高阳性率。78例次胸膜活检中发生少量气胸2例(2.5%),胸膜反应3例(3.8%)。结论胸膜活检在确诊结核性胸膜炎中具有重要的应用价值,是一种简便、快速、安全的检查手段,阳性率高。

Objective To explore the sense of pleural biopsy in the diagnosis of tuberculous pleurisy.Methods To find acid-fast bacilli of 62 cases of tuberculous pleurisy in patients with percutaneous pleural biopsy and pleural effusion examination,and their positive rates were compared,while analysis of the factors affecting the diagnostic yield and its security.Results Percutaneous pleural biopsy pathology-positive rate was 53.2%,compared with the positive rate of pleural effusion of acid-fast bacilli have significant difference（X^2=44.97,P〈0.05）;62 cases of patients with tuberculous pleurisy,the younger,the greater serum high sensitivity C-reactive protein values,early after the onset of pleural biopsy can increase the positive rate.Conclusion Pleural biopsy methods in the diagnosis oftuberculous pleurisy are of great value,it is a convenient and rapid,safe means of inspection and it has a positive rates in in Diagnosis of Tuberculous Pleurisy.