摘要
目的观察结核性胸膜炎患者胸腔镜下的表现,提高对其特点的认识,并评价胸腔镜检查的诊断价值。方法回顾性分析48例经内科电子胸腔镜确诊的结核性胸膜炎患者胸膜病变的镜下形态和分布特点。结果结核性胸膜炎患者胸腔镜下主要有四种形态多发、单发结节(21例,43.75%);胸膜弥漫性分布的粟粒样改变(14例,29.17%);胸膜充血、水肿(8例,16.67%);胸膜增厚、纤维粘连(5例,10.42%)。壁层胸膜18例(占37.50%);脏层胸膜10例(占20.83%);膈胸膜6例(占12.50%);弥漫性分布14例(占29.17%)。无1例发生严重并发症。结论电子胸腔镜检查安全,在结核性胸腔积液的诊断中具有重要的应用价值。
Odjective To improve the cognition of the character of tuberculous pleurisy and assess the value of thoracoscopy in the diagnosis of tuberculous pleurisy. Methods Forty-eight tuberculous pleurisy patients diagnosed through electronic-assisted thoraeoscopic pleural biopsy were retrospectively studied on its visual aspect under thoraeoscope. Results There were 21 patients with one or more sarcoidosis（43.75% ）, 14 patients with diffused granules（29.17% ） ,8 patients with pleural congestive and edema（ 16.67% ） and 5 patients with pleural thickening and adhesions（ 10.42% ） in 48 patients by visual aspect under electronic-assisted thoraeoseopy. Distribution of the tuberculous lesion were as follows： 18 cases on parietal pleura （37.50%）, 10 on visceral pleura （20.83 % ） and 6 on diaphragmatic pleura （ 12.50% ）. The other 14 eases were diffused distributed. There was no one serious complication. Conclusion Electronic-assisted thoracoscopic pleural biopsy is relatively safe and has very important value in diagnosis of tuberculous pleurisy.
出处
《临床内科杂志》
CAS
2006年第5期315-316,共2页
Journal of Clinical Internal Medicine
关键词
胸腔镜
结核性胸膜炎
诊断
Thoracoscopy
Ttuberculous pleurisy
Diagnosis
作者简介
通讯作者
