内科胸腔镜诊断不明原因胸腔积液的应用价值

摘要

目的:探讨内科胸腔镜在不明原因胸腔积液中的诊断价值及安全性.方法:回顾性分析我院2014年12月至2016年5月行内科胸腔镜检查的60例胸腔积液患者的临床资料.结果:所有患者均完成内科胸腔镜检查,60例患者中,56例明确诊断,4例未能明确病理诊断.诊断阳性率为93.3%(56/60).恶性肿瘤41例(73.2%),良性疾病15例(26.8%),其中结核性胸膜炎11例;非特异性炎症4例.所有患者均未发生严重并发症.结论:内科胸腔镜显著提高了不明原因胸腔积液的诊断率,且有安全性高、并发症少等特点,具有重要的临床应用价值.%Objective:To investigate the clinical application value of medical thoracoscopy in diagnosis of unexplained pleural effusion.Methods:The clinical data of the 60 patients diagnosed with medical thoracoscopy in our hospital from December 2014 to May 2016 were analyzed retrospectively.Results:The diagnostic accuracy rate was 93.3%(56/60),including tumour 41 cases (73.2%),tuberculosis 11 cases,nonspecific inflammation 4 cases.No serious adverse events occurred.Conclusion:Medical thoracoscopy significantly increases diagnostic rate of pleural effusion,which has low rate of complications and important clinical value in the diagnosis of pleural effusion.