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目的分析探讨内科胸腔镜在胸膜疾病中的临床应用价值。方法筛选2013年1月至2014年1月于我院就诊的胸腔积液、自发性气胸患者76例,作为研究对象。对所有患者采用内科胸腔镜下取病理活检并进行诊断,与临床常规影像学及病理学等检查手段确诊结果进行比较分析,判断内科胸腔镜在胸膜疾病检查中的临床应用价值。结果胸腔镜检查确诊胸膜疾病例数70(92.11%,70/76),其中结核性胸膜炎51例(94.44%,51/54),小细胞癌1例(100%,1/1),肺腺癌9例(81.82%,9/11),肺鳞癌4例(80.00%,4/5),胸膜间皮瘤5例(100%,5/5),与临床证实结果比较无显著差异(P>0.05)。结论应用内科胸腔镜检查并诊断胸膜疾病具有准确率、有效评估病情并且检查较为安全,腔镜并发症发生率较低的优势,存在临床应用及推广价值。
Objective To analyze the clinical value of medical thoracoscopy in pleural disease. Methods Seventy-six patients with pleural effusion and spontaneous pneumothorax who were treated in our hospital from January 2013 to January 2014 were selected as research objects. All patients underwent medical thoracoscopic pathological biopsy and diagnosis, and clinical routine imaging and pathology and other diagnostic methods to confirm the results of comparative analysis to determine the value of medical thoracoscopy in the examination of pleural disease clinical value. Results The number of cases of pleural diseases confirmed by thoracoscopy was 70 (92.11%, 70/76), including 51 cases of tuberculous pleurisy (94.44%, 51/54), 1 case of small cell carcinoma (100%, 1/1) There were no significant differences in clinical manifestations among 9 cases (81.82%, 9/11), 4 squamous cell carcinomas (80.00%, 4/5) and 5 pleural mesotheliomas (100%, 5/5) P> 0.05). Conclusion The application of medical thoracoscopy and diagnosis of pleural disease with accuracy, effective assessment of the disease and the safety of the examination, the lower incidence of endoscopic complications, there are clinical applications and promotion of value.