论文部分内容阅读
目的讨论内科胸腔镜在胸膜急诊诊断中的应用效果。方法选择齐齐哈尔医学院附属第三医院呼吸科具有呼吸困难症状的患者82例作为研究对象,所有患者均经过X线、CT及超声确诊为胸腔积液,根据检查方法不同,分为对照组和实验组,对照组40例,行常规胸腔穿刺检查;实验组42例,比较两组患者的胸膜疾病的诊断阳性率及不良反应发生率。结果对照组的阳性诊断率为52.5%,实验组的阳性诊断率为85.7%,两组比较(χ2=10.665,P=0.002),差异具有统计学意义(P<0.05)。对照组有4例出现并发症,实验组共有5例出现相应并发症,实验组对结节大小、分布及粘连程度均能够明确诊断。结论内科胸腔镜检查,能够显著提高疾病的阳性检出率,并且没有增加患者的并发症发生率,是一种较为可靠的胸膜检查手段。
Objective To discuss the effect of medical thoracoscopy in the diagnosis of pleural effusion. Methods Eighty-two patients with dyspnea in Respiratory Department of the Third Affiliated Hospital of Qiqihar Medical College were enrolled in this study. All patients were diagnosed as pleural effusion by X-ray, CT and ultrasonography. According to the examination method, they were divided into control group and experiment Group, control group of 40 patients underwent routine thoracentesis; experimental group of 42 patients, the two groups of patients with pleural disease diagnosis positive rate and incidence of adverse reactions. Results The positive rate of diagnosis was 52.5% in the control group and 85.7% in the experimental group (χ2 = 10.665, P = 0.002). The difference was statistically significant (P <0.05). Complications were found in 4 cases in the control group. Complications were found in 5 cases in the experimental group. The experimental group was able to confirm the size, distribution and adhesion of the nodules. Conclusion The medical thoracoscopy can significantly improve the positive detection rate of the disease, and does not increase the incidence of complications in patients with a more reliable means of pleural examination.