弹簧切割胸膜活检术对诊断不明原因渗出性胸腔积液的临床价值

Clinical study of the diagnostic value of pleural biopsy by spring cutting in unexplained exudative pleural effusions

目的探讨弹簧切割胸膜活检对不明原因渗出性胸腔积液的诊断价值,以为临床处治提供科学依据。方法对367例不明原因渗出性胸腔积液患者进行弹簧切割胸膜活检术,同时抽取胸水送检常规、生化、细胞学及细菌学等实验室检查。结果 367例患者的第一次胸膜活检成功率为95.10%,268例患者的胸膜活检有特异性病理结果。其中恶性胸腔积液确诊率为78.52%,结核性胸膜炎确诊率为63.55%。并发症包括:出血、胸膜反应和气胸,但发生率较低。结论弹簧切割胸膜活检术作为一项微创技术具有简单、安全、有效的特点,在不明原因胸腔积液的诊断过程中,是一项重要的内科确诊手段。

Objective To investigate the diagnostic value of percutaneous pleural biopsy by spring cutting in the diagnosis of unexplained exudative pleural effusions. Methods Percutaneous pleural biopsies by spring cutting were performed on 367 patients with unexplained exudative pleural effusion. Other tests on pleural effusion including routine inspection, biochemical, cytological and bacteriological and other laboratory tests were also performed. Results The success rate of the first-time biopsy in 367 cases was 95.10%. 268 patients got definite pathological results. Pleural biopsy obtained 78. 52 percent accuracy for malignant pleural effusion and 63.55 percent accuracy for tuberculous pleurisy. Conclusion Pleural biopsy by spring cutting is a simple, safe and effective method in the diagnosis of pleural effusion.