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结核性胸膜炎患者内科胸腔镜表现
引用本文:吴欢欢,李玉苹,官岚.结核性胸膜炎患者内科胸腔镜表现[J].实用医学杂志,2012,28(8):1310-1312.
作者姓名:吴欢欢  李玉苹  官岚
作者单位:温州医学院附属第一医院呼吸内科,325000
摘    要:目的:观察结核性胸膜炎患者胸腔镜下表现,提高对其特点的认识。方法:对本院2007年1月到2010年5月以胸腔积液收治入院,并最终确诊为结核性胸膜炎的132例患者,对其内科胸腔镜下表现进行回顾性分析。结果:132例结核性胸膜炎患者内科胸腔镜下主要表现为3种类型:胸膜弥漫性充血水肿及粟粒性结节型;多发或散在的结节型;胸膜肥厚、纤维粘连或形成多个包裹性积液型。结论:结核性胸膜炎患者内科胸腔镜下表现以结节为主,占91.7%,结节分布以弥漫性、壁层胸膜多见。

关 键 词:结核  胸膜  内科胸腔镜  病理

Appearance of tuberculous pleurisy under flexible electronic thoracoscopy
WU Huan-huan , LI Yu-ping , GUAN Lan.Appearance of tuberculous pleurisy under flexible electronic thoracoscopy[J].The Journal of Practical Medicine,2012,28(8):1310-1312.
Authors:WU Huan-huan  LI Yu-ping  GUAN Lan
Institution:.Department of Respiratory Diseases,the First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000,China
Abstract:Objective To improve the cognition of the characters of tuberculous pleurisy through observing its appearance under flexible electronic thoracoscopy.Methods One hundred and thirty-two patients with pleural effusion as the major manifestation and finally diagnosed as tuberculous pleurisy were retrospectively studied,and the appearance under thoracoscopy were summarized.Results The appearance of 132 cases with tuberculous pleurisy under thoracoscopy were summarized as 3 major types:hyperemia and edema of pleura and diffused miliary nodules;single or multiple nodules(1~3 cm in diameter);pachynsis pleurae,or fibrous adhesion of the pleura, or the formation of multiple encapsulated effusion.Conclusions The performance of 132 cases with tuberculous pleurisy under thoracoscopy were mainly showed as nodules,accounted for 91.7%,and the nodules are expressed as diffuse distribution or mainly distributed in the parietal pleura.
Keywords:Tuberculous  pleural  Flexible electronic thoracoscopy  Pathology
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