论文部分内容阅读
目的评价纤维支气管镜(简称纤支镜)替代胸腔镜对胸腔积液的诊断价值。方法 54例胸腔积液患者,其中男性27例,女性27例;年龄24～78岁,平均年龄55岁。经过一系列常规检查仍不能明确诊断的,对其行纤支镜检查,分析诊断结果。结果 54例胸腔积液患者纤支镜活检标本行病理组织检查,肺癌胸膜转移23例,胸膜间皮瘤5例,胸膜结核15例,非特异性炎症7例;共50例患者获得明确诊断,纤支镜检查确诊率为92.6%(50/54)。结论局部麻醉下行纤支镜替代胸腔镜检查创伤小,诊断率高,操作安全、简便,并发症少,值得基层医院推广。
Objective To evaluate the diagnostic value of fiberoptic bronchoscopy (referred to as fiberoptic bronchoscopy) instead of thoracoscopy for pleural effusion. Methods 54 cases of pleural effusion patients, including 27 males and 27 females; aged 24 to 78 years, mean age 55 years. After a series of routine tests still can not be clearly diagnosed, their fiberoptic bronchoscopy, analysis of diagnostic results. Results The biopsy specimens of 54 patients with pleural effusion were examined by pathological examination. There were 23 cases of pleural metastasis in lung cancer, 5 pleural mesothelioma, 15 pleural tuberculosis and 7 non-specific inflammation. The diagnosis of bronchoscopy was 92.6% (50/54). Conclusion Local anesthesia with fiberoptic bronchoscopy instead of thoracoscopy has the advantages of small trauma, high diagnostic rate, safe and convenient operation, less complications and is worth promoting in primary hospitals.