局麻胸腔镜检查在胸腔积液诊断中的应用

Application analysis of local thoracoscopy in the diagnosis of pleural effusion

(1)目的探讨局麻可弯曲胸腔镜检查应用于不明原因胸腔积液患者中的诊断价值及其安全性评价。(2)方法回顾性分析经常规检查不能确诊的136例胸腔积液患者胸腔镜检查的临床资料。(3)结果 136例经可弯曲胸腔镜检查并进行组织病理学检测后明确诊断124例,确诊率91.2%,其中恶性肿瘤102(82.3%)例,结核16(12.9%)例,非特异性炎症3例,正常3例。主要并发症有急性心衰1例,肺水肿1例,皮下血肿1例。(4)结论局麻可弯曲胸腔镜检查可作为不明原因胸腔积液患者病因诊断的主要手段,具有操作简单、安全、确诊率高、患者耐受性良好等优点。

Objective To explore the value of semirigidthoracoscopy in the diagnosis of pleural effusion caused by unknown reasons. Methods The clinical data of thoracoseopic examination of 136 patients with pleural effusion who were not diagnosed by routine examination were retrospectively analyzed. Results In 136 cases, 124 cases were diagnosed by semirigidthoracoscopy and histopathological examination, the positive rate of diagnosis was 91.2%, in which 102 cases were malignant tumor （82.3 % ）, 16 cases were tuberculosis（ 12.9 % ）, 3 cases were nonspecific inflammation, 3 cases were normal.The major complications of these cases were acuter heart failure in 1 case, pneumonedema in 1 case,emphysema in 1 case.Conclusion Semirigidthoracoscopy in local anesthesia is the primary method of etiology diagnosis.It is simple and safe,with a high positive rate and superior tolerability.