经皮胸膜活检在渗出性胸腔积液中的临床应用评价

Clinical evaluation of pleural needle biopsy in the diagnosis of exudative pleural effusion

目的探讨经皮胸膜活检在渗出性胸腔积液中的临床应用价值。方法对63例渗出性胸腔积液患者的经皮胸膜活检的病理结果进行回顾性分析，同时分析其并发症。结果经皮胸膜活检对渗出性胸腔积液的病理确诊率达到86．36％，其中恶性胸腔积液占53．03％，结核性胸腔积液占28．79％，主要的并发症为疼痛及气胸，无其他严重并发症。结论在渗出性胸腔积液的诊断中，经皮胸膜活检是一种简便、安全、阳性率高的方法，而且并发症少。

Objective To explore the value ofpleural needle biopsy in the diagnosis of exudative pleural effusion. Methods The pathologic diagnosis of 63 patients with exudative pleural effusion by pleural needle biopsy were analyzed retrospectively, and the complications ofpleural needle biopsy also were analyzed. Results The definitive rate of pathologic diagnosis of pleural needle biopsy for exudative pleural effusion was 86.36%, malignant pleural effusion accounted for 53.03%, and tuberculous pleural effusion accounted for 28.79%. The complications were mainly pain and pneumothorax, without other serious complications. Conclusion In the diagnosis of exudative pleural effusion, pleural needle biopsy is a simple, safe, and effective way, with few complications.