胸膜活检对渗出性胸腔积液病因诊断价值

目的探讨胸膜活检术在渗出性胸腔积液病因诊断中的价值。方法对83例渗出性胸腔积液患者行胸膜活检,同时取胸水送癌细胞检测。结果83例胸膜活检第一次活检成功率61.4%,特异性病理诊断52例,病理诊断阳性率62.7%。胸膜活检病理诊断为结核34例(41.0%)、肿瘤18例(21.7%)、慢性炎症20例(24.1%)、胸膜淀粉样变1例(1.2%)、正常胸膜11例(13.0%)。83例患者共行胸膜活检术104次,并发气胸6次,发生率5.8%(6/104),发生胸膜反应9次,发生率8.7%(9/104)。结论胸膜活检是一项安全、简单、有效的胸膜疾病的重要的内科确诊手段。目前在胸腔积液病因诊断方面仍是一项重要的手段。

Value of Pleural Biopsy to Etiological Diagnosis of Exudative Pleural Effusions

Objective To evaluate the diagnostic value of pleura biopsy tO exudative pleural effusions. Methods 83 patients with exudative pleural effusion Were performed with pleural biopsy and cancer cells in pleural effusion were checked. Results The success rate of initial pleural biopsy to the 83 cases was 61.4% , with 52 cases of pathological specificity diagnosis and the positive rate of 62.7% in pathological diagnosis. Among them, 34 cases （41.0%） were diagnosed with tuberclosis, 18 cases （21.7%） with tumors, 20 eases （24.1%） with chronic inflammation, 1 case （1.2%） with pleural amyloidosis and the other 11 cases （13.0%） had normal pleaural tissue. 104 pletiral biopsies were performed, and there were 6 cases （5.8%） with the complication of pneumothorax and 9 cases （8.7%） with pleural response. Conclusion Pleural biopsy is a safe, simple and effective method in the diagnosis of pleural diseases and it is also an important method to make the etiological diagnosis of pleural effusion.