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目的探讨可弯曲电子内科胸腔镜在结核性胸膜炎中的应用价值。方法2007年10月—2009年6月,对应用尖端可弯曲电子内科胸腔镜(LTF-240型)检查并确诊的92例结核性胸膜炎患者临床资料进行回顾性分析。结果92例患者镜下主要表现为胸膜充血水肿,粟粒样结节,单发或多发结节;伴坏死的结节;有较多的纤维条索状的黏连带;包裹性胸腔积液;脓苔。内科胸腔镜检查确诊阳性率为87.0%,92例胸腔镜检查仅1例出现胸膜反应,无严重并发症发生。结论可弯曲电子内科胸腔镜检查对临床上不能确诊的结核性胸膜炎是一项安全、有效、易操作、确诊率高的检查方法。
Objective To investigate the value of flexible electronic medical thoracoscopy in tuberculous pleurisy. Methods From October 2007 to June 2009, the clinical data of 92 patients with tuberculous pleurisy who were diagnosed and diagnosed by the cutting-edge flexible electronic medical thoracoscope (LTF-240 type) were analyzed retrospectively. Results 92 cases of patients with pleural congestion and edema, miliary nodules, single or multiple nodules; with necrotic nodules; more fibrous cord-like adhesions; encapsulated pleural effusion; pus moss. The positive rate of diagnosis was 87.0% by medical thoracoscopy, only one case of pleural reaction was found in 92 cases of thoracoscopy. No serious complications occurred. Conclusions The flexible electronic medical thoracoscopy is a safe, effective, easy-to-operate and high-confirmed diagnostic method for tuberculous pleuritis which can not be diagnosed clinically.