支气管镜联合胸腔镜辅助诊断不明原因胸腔积液20例分析

Diagnostic value of the combination of bronchoscopy and thoracoscopy in unknown cause pleural effusion

目的评价支气管镜联合胸腔镜检查对不明原因胸腔积液的辅助诊断价值。方法我科41例不明原因胸腔积液患者,按随机数字表法分为胸腔镜检查组21例和支气管镜联合胸腔镜检查组(联合组)20例,比较两组的诊断阳性率。结果胸腔镜组病因诊断阳性率为57.14%,联合组阳性率为90.00%,差异有统计学意义(P<0.05)。结论支气管镜联合胸腔镜检查对不明原因胸腔积液具有较高的辅助诊断价值,能提高胸腔积液病因诊断。

Objective To evaluate the diagnostic value of the combination of bronchoscopy and thoracoscopy in unknown cause pleural effusion.Methods Forty-one patients with pleural effusion were randomly divided into thoracoscope group（n =21） and combination group（n =20）.The thoracoscope group was examined with thoracoscopy while the combination group was examined with combination of bronchoscopy with thoracoscopy.Diagnostic positive rates were compared between the two groups.Results The diagnos-tic positive rate in the thoracoscope group was 57.14% while the positive rate of the combination group was 90.00%.The difference was statistically significant（P〈0.05）.Conclusion Bronchoscopy combined with thoracoscopy has a higher diagnostic value for un-known cause pleural effusion and can promote the diagnosis of pleural effusion.