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目的评价与分析局部麻醉下胸腔镜胸膜活检术对于不明原因胸腔积液的诊断价值。方法选择2013年10月—2014年12月收治的12例不明原因胸腔积液患者作为研究对象,入选患者均行局部麻醉下胸腔镜胸膜活检术。观察患者胸腔镜下表现及病理检查结果。结果病理明确胸膜间皮瘤9例、结核性胸膜炎2例、慢性炎症1例,12例患者均明确诊断。结论局部麻醉下胸腔镜胸膜活检术对于不明原因胸腔积液患者是一种直观、准确、经济易行、安全可靠的诊断方法,值得推广使用。
Objective To evaluate and analyze the diagnostic value of thoracoscopic pleural biopsy under local anesthesia for unexplained pleural effusion. Methods A total of 12 patients with unexplained pleural effusion admitted from October 2013 to December 2014 were enrolled in this study. Thoracoscopic pleural biopsy was performed under local anesthesia. To observe the performance of thoracoscopic and pathological examination results. Results Pathological clear mesothelioma in 9 cases, tuberculous pleurisy in 2 cases, 1 case of chronic inflammation, 12 patients were diagnosed. Conclusions Thoracoscopic pleural biopsy under local anesthesia is an intuitive, accurate, economical, safe and reliable diagnostic method for patients with unexplained pleural effusion. It is worth to be popularized.