| 摘要: |
| ［摘要］ 目的 探讨胸膜活检在胸腔积液病因诊断中的价值。方法 对该院2009-01～2011-06行胸膜活检的120例胸腔积液患者的病例资料进行回顾性分析。结果 120例患者共行142次胸膜活检，1次成功检取组织105例，共197块；2次成功检取组织8例，共13块；3次成功检取组织7例，共10块。其中确诊结核性胸膜炎52例，胸膜转移瘤41例，间皮瘤2例，支气管黏膜淀粉样变合并胸腔积液1例,慢性嗜酸粒细胞增高症1例，慢性炎症12例,未取到胸膜者11例。出现的不良反应有胸膜反应3例，合并气胸6例，出血16例，术后发热17例，肿瘤细胞针道种植1例。结论 |
| 关键词: 胸腔积液 胸膜活检 病因诊断 |
| DOI：10.3969/j.issn.1674-3806.2012.10.18 |
| 分类号:R 561.3 |
| 基金项目: |
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| Value of percutaneous pleural biopsy in the diagnosis of pleural effusions |
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CHEN Shun-wang,FENG Shu-hong
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Third Department of Internal Medicine,Baoding Hengxing Hospital of Intergrated Tranditional Chinese and Western Medicine,Hebei 071051,China
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| Abstract: |
| ［Abstract］ Objective To explore the value of pleural biopsy in the diagnosis of the cause of pleural effusion.Methods The clinical data of 120 patients with pleural effusion underwent pleural biopsy were retrospectively analyzed in our hospital from January 2009 to June 2011.Results All patients accept the 142 pleural biopsy, 197 tissue pieces were successfully obtained in first biopsy in 105 patients,13 tissue pieces in second biopsy in 8 patients；10 tissue pieces in third biopsy in 7 patients. Tuberculous pleurisy was diagnosed in 52 patients, pleural metastases in 41, mesothelioma in 2, bronchial mucosa amyloidosis in 1, chronic eosinophilic granulocytes increased disease in 1, chronic inflammation in 12, and tissue was not obtained in 11. Adverse reactions included pleural reaction in 3 patients, merger pneumothorax in 6, bleeding in 16, postoperative fever in 17, tumor cells needle track implantation in 1.Conclusion Pleural biopsy is simple, low cost, minimally invasive, easy to be accepted by the patients, and has a high diagnostic value of pleural effusion. |
| Key words: Pleural effusions Pleural biopsy Etiological diagnosis |
