目的：研究分析内科胸腔镜与闭式胸膜活检对胸腔积液的诊断价值。方法选择我院2014年10月至2015年10月接收的不明原因胸腔积液患者94例作为研究对象，将患者分为两组，甲组和乙组，均为47例，应用内科胸腔镜对甲组患者进行诊断，应用闭式胸膜活检对乙组患者进行诊断，比较两组诊断的准确性。结果甲组病理诊断阳性率比乙组高，差异有统计学意义（P<0.05）；甲组恶性肿瘤诊断率与乙组存在较大差异，差异有统计学意义（P<0.05）；甲组结核诊断率与乙组的差异较小，无统计学意义（P>0.05）；甲组慢性炎症、胸膜坏死组织诊断率与乙组存在较大差异，差异有统计学意义（P<0.05）；甲组与乙组的并发症发生率差异较小，无统计学意义（P>0.05）。结论内科胸腔腔镜在复杂性胸腔积液中的诊断价值较高，操作简单，诊断准确性较高，值得推广应用。%Objective to study and analyze diagnostic value of internal medicine thoracoscope and closed pleural biopsy for pleural biopsy.Methods choose 94 cases pleural biopsy with unclear causes received in our hospital from October 2014 to October 2015 as study objects, divide them into group A and B, 47 cases in each. Group A was diagnosed with medical thoracoscopy, and group B with closed pleural biopsy. Compare diagnosis accuracy of two groups.Results Pathological diagnosis positive rate of group A is higher than group B, difference showed statistical significance (P< 0.05). Malignant tumor accuracy of group A showed big difference from group B, difference showed statistical significance (P< 0.05); tuberculosis diagnosis accuracy of group A showed smaller differences from group B without statistical significance (P> 0.05). Diagnosis accuracy of chronic inflammation, pleural tissue necrosis of group A has big difference from group B, difference showed statistical significance (P< 0.05). Complication incidence of group A showed smaller differences from group B without statistical significance (P>0.05).Conclusion medical thoracoscope has high diagnosis value and diagnosis accuracy for complicated pleural effusion with simple operation, which is worthy of promotion and application.
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