胸腔镜与经皮胸膜活检在胸腔积液诊断中的临床价值

Clinical evaluation of thoracoscopy and pleural needle biopsy in the diagnosis of pleural effusions

目的比较内科胸腔镜和经皮胸膜活检在胸腔积液诊断中的价值。方法分析我院同期开展内科胸腔镜(胸腔镜组)和经皮胸膜活检(闭式活检组)的胸腔积液患者,比较两组的病理诊断阳性率及安全性。结果胸腔镜组病理诊断阳性率显著高于闭式活检组,胸腔镜组恶性肿瘤诊断率显著高于闭式活检组,胸腔镜组胸膜结核的诊断率与闭式活检组无显著性差异;两组并发症比较无显著性差异。结论经皮胸膜活检和内科胸腔镜对于胸腔积液诊断均是安全、有效的方法。

Objective To compare the value of medical thoracoscopy and pleural needle biopsy in the＆amp;nbsp;etiological diagnosis of pleural effusion. Methods A retrospective analysis was conducted in 144 patients as the tho-racoscopic group and 129 patients as the biopsy group. The pathological diagnostic rate and the complication rate of two different methods were compared. Results The positive pathological diagnostic rate was significantly higher in the thoracoscopic group than in the closed biopsy group. For the diagnosis of malignant tumor, the positive rate of medical thoracoscopy was significantly higher than that of pleural needle biopsy. However, the positive diagnosis rate of tuberculosis had no significant difference between the two groups. Conclusion In the diagnosis of pleural effusion with unknown reason, both pleural needle biopsy and medical thoracoscopy are safe and effective methods.