评价可弯曲内科胸腔镜对不明原因胸腔积液的诊断价值

Semirigid thoracoscopy in unexplained pleural effusions:An analysis of 40 cases

目的评价可弯曲内科胸腔镜对不明原因胸腔积液病因诊断的应用价值。方法回顾性分析本院呼吸内科2010年1月-2014年9月行可弯曲内科胸腔镜检查的不明原因胸腔积液患者40例的临床诊断资料。结果 40例中37例完成可弯曲内科胸腔镜检查,其中镜检病理诊断胸膜转移性肿瘤巧例,恶性胸膜间皮瘤7例,结核性胸膜炎4例,类风湿关节炎合并胸腔积液1例,非特异性炎症5例,病理诊断不明5例。可弯曲内科胸腔镜病理诊断阳性率为86.5%o所有患者均无严重并发症发生。结论可弯曲内科胸腔镜检查是一种安全有效地诊断不明原因胸腔积液的方法。

Objective To evaluate the diagnostic accuracy and safety of semirigid thoracoscopy in unexplained pleural effusions. Methods Clinical data about 40 patients who underwent semirigid thoracoscopy for unexplained pleural effusion from January 2010 to September 2014 in Chinese PLA General Hospital were retrospectively evaluated. Results Of the 40 patients, semirigid thoracoscopy were completed in 37 cases. Of these 37 cases, 15 were pathologically diagnosed with malignant tumor metastases, 7 with mesothelioma, 4 with tuberculous pleuritis, 1 with rheumatoid arthritis related pleural effusion, 5 with non-specific pleuritis, and 5 were still pathologically undetermined. The diagnostic accuracy of semirigid thoracoscopy was 86.5%. No major complication occurred in patients during the procedure. Conclusion Semirigid thoracoscopy is a safe and accurate tool for undiagnosed pleural effusions.