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目的:探讨内科胸腔镜在胸膜疾病中的诊疗价值。方法:92例胸膜疾病患者行内科胸腔镜活检及治疗,统计胸腔积液的确诊率及胸膜粘连术的疗效。结果:内科胸腔镜下胸膜活检术确诊率达95.6%,常规胸膜活检术确诊率59.6%,2组比较差异有统计学意义(P<0.01);内科胸腔镜下喷洒滑石粉胸膜固定法治疗恶性胸腔积液总有效率为91.7%,常规胸腔穿刺后胸腔内注入人重组细胞白介素-2的有效率为53.8%,2组比较差异有统计学意义(P<0.05)。结论:内科胸腔镜技术的介入,使胸膜疾病的诊断及治疗提高到了一个新的水平,且操作相对简单、安全性高。
Objective: To investigate the clinical value of medical thoracoscopy in pleural disease. Methods: Thirty-two patients with pleural disease underwent medical thoracoscopic biopsy and treatment, and the diagnosis rate of pleural effusion and the effect of pleural adhesions were calculated. Results: The diagnosis rate of medical pleural biopsy was 95.6%, and the diagnosis rate of routine pleural biopsy was 59.6% (P <0.01). The treatment of malignant throat The total effective rate of pleural effusion was 91.7%. The effective rate of intrathoracic injection of human recombinant interleukin-2 after conventional thoracentesis was 53.8%. The difference between the two groups was statistically significant (P <0.05). Conclusion: The interventional medical thoracoscopic technique improves the diagnosis and treatment of pleural disease to a new level, and its operation is relatively simple and safe.