胸腔镜检查诊断不明原因的胸腔积液临床分析

目的探讨胸腔镜检查对不明原因胸腔积液的诊断价值。方法25例不明原因的胸腔积液患者行胸腔镜检，直视下取病变组织行病理检查。结果镜下表现灰白色粟粒样结节，多发结节状突起，胸膜局灶不规则增厚，胸膜充血、水肿，纤维粘连。胸腔镜检查确诊率92％。确诊病例中恶性肿瘤15例（60％），其中肺癌转移11例，恶性胸膜间皮瘤4例，良性疾病共8例（32％），其中结核性胸膜炎7例，慢性炎症1例，无严重并发症。结论胸腔镜检查对不明原因的胸腔积液是一种安全、确诊率高的诊断方法。

Analysis of thoracoscopy in the pleural effusion of unknown reason

Objective To evaluate the diagnosing value of thoraeoscopy in the pleura1 effusion of unknown reason. Methods Thoraeoseopy was done in 25 pleural effusion patients of unknown reason. To observe the under thoraeoscopic presentations and take the illness tissues under direct view for histupathologic examination. Results That was the under thoracoseopie presentations, they are pleural congestion and edema, greyish white military diffused nodes, single or multi nodes,pleural thickness and fibrestie septa or adhesion. The diagnostic rate of thoracoscopy was 92%. There were 15 malignant eases （60%） in the diagnosed patients. Among them, metastasis of lung cancer 11 cases （ adenocarcinoma 7 cases, squamous cell lung cancer 1 case, small cell lung cancer 1 case）, malignant mesothelioma 4 eases. There were 8 benign cases （32%） in the diagnosed patients. Among them, tuberculous pleurisy 7 cases, chronic inflammation 1 case. There were nosevere complications. Conclusion Thoracoseopy is a safe and high diagnostic rate method in unknown reason pleural effusions.