经皮胸膜活检联合C反应蛋白在结核性胸膜炎诊断中的意义

Percutaneous pleural biopsy combined with C-reactive protein in the 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124例结核性胸膜炎患者进行经皮胸膜活检联合C反应蛋白与胸腔积液查抗酸杆菌,并对两种检查方法阳性率进行比较,同时分析影响诊断阳性率的因素及安全性。结果经皮胸膜活检联合C反应蛋白的病例阳性率为53.2%,与胸腔积液查抗酸杆菌的阳性率比较差异有统计学意义(χ2=44.97,P<0.05)。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%)。结论胸膜活检联合C-反应蛋白在确诊癌性胸腔积液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 efficacy of applying percutaneous pleural biopsy in the diagnosis of tuberculous pleurisy. Methods 124 cases of tuberculous pleurisy patients received percutaneous pleural biopsy combined with detecting C - reactive protein and pleural effusion acid bacillus, positive rate of the two methods were compared, at the same time, analyzed the influential elements which affect the diagnostic positive rate and safety. Results Positive rateof percutaneous pleural biopsy combined with c - reactive protein was 53.2%, compared with positive rate of detectingacid fast bacilli in pleural effusion, the difference was statistically significant （x2 = 44.97, P 〈 0. 05 ）. 2 cases pneumothorax occurred in 78 cases of pleural biopsy （2.5%）, pleural reaction occurred in 3 cases （3.8%）. Conclusions Detecting C - reactive protein combined pleural biopsy play a important role in diagnosing cancerous pleural effusion, it is a simple, rapid and safe examination method, and present high positive rate.