支气管镜替代胸腔镜在胸腔积液中的诊断价值探讨

Application value of bronchoscope instead of thoracoscope in pleural effusion

目的探讨应用电子支气管镜替代胸腔镜在胸腔积液患者中的诊断价值。方法 2016年9月-2018年12月入院的35例胸腔积液患者,常规检查后仍不能明确诊断,行电子支气管镜检查,对活检标本行病理组织学检查。结果 35例患者病理诊断胸膜转移癌10例,结核性胸膜炎18例,胸膜间皮瘤2例,非特异性慢性炎症3例,无异常2例;共33例患者获得明确诊断,确诊率为94.2%。结论电子支气管镜替代胸腔镜检查诊断率高,且操作安全,并发症少,费用低,对于不具备内科胸腔镜设备的基层医院,是一种切实可行的检查方法。

Objective To explore the diagnostic value of electronic bronchoscopy instead of thoracoscopy in patients with pleural effusion.Methods For the 35 patients with pleural effusion admitted to hospital from September 2016 to December 2018,who could not be clearly diagnosed after a series of routine examinations,electronic Bronchoscopy was performed instead of thoracoscopy,and histopathological examination was performed on biopsy specimens.Results There were 10 cases of pleural metastatic carcinoma,18 cases of tuberculous pleurisy,2 cases of pleural mesothelioma,3 cases of nonspecific chronic inflammation and 2 cases of no abnormality diagnosed by pathology in 35 patients. A total of 33 patients were definitely diagnosed with a diagnostic rate of 94.2%.Conclusion Electronic bronchoscopy instead of thoracoscopy has a high diagnostic rate,safe operation,fewer complications and low cost. It is a practical and feasible examination method for primary hospitals without medical thoracoscopy equipment.