| 膈肌胸膜活检41例临床分析 |
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| 引用本文： | 金普乐,金风,胡文霞,葛晖,王平. 膈肌胸膜活检41例临床分析[J]. 北京医学, 2009, 31(11) |
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| 作者姓名： | 金普乐 金风 胡文霞 葛晖 王平 |
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| 作者单位： | 石家庄,河北医科大学第四医院呼吸内科,050011;石家庄,河北省中医院功能科 |
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| 基金项目： | 河北省普通高等学校强势特色学科肿瘤学建设基金(编号2005-52) |
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| 摘 要： | 目的探讨钳式胸膜活检套管针对膈肌胸膜活检的诊断价值和安全性。方法应用钳式胸膜活检套管针对41例胸腔积液患者进行膈肌胸膜活检。结果取材成功率为95.2%(39/41),病理诊断阳性率为70.7%(29/41)。发生人工气胸5例(12%),胸痛6例(14.6%),出血4例(9.7%),发热1例(2.4%),无气短和咯血者。结论钳式胸膜活检套管针进行膈肌胸膜活检是一种简单、安全、有效的胸膜活检方法。
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| 关 键 词： | 胸腔积液 胸膜 套管针 活检钳 |
The clinical analysis of 41 cases underwent diaphragm pleural biopsy |
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| JIN Pu-le,JIN Feng,HU Wen-xia,et al. The clinical analysis of 41 cases underwent diaphragm pleural biopsy[J]. Beijing Medical Journal, 2009, 31(11) |
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| Authors: | JIN Pu-le JIN Feng HU Wen-xia et al |
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| Affiliation: | JIN Pu-le,JIN Feng,HU Wen-xia,et al (Department of Respiratory,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011) |
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| Abstract: | To evaluate the effectiveness and safety of forceps' pleural biopsy trocar in obtaining pleural tissue diaphragm. Methods Forty-one cases with pleural effusion with unknown etiology underwent diaphragm pleural biopsy by forceps' pleural biopsy trocar. Results The total successful rate of obtaining pleural tissue was 95.2%(39/41). The positive rate of pathological diagnoses was 70.7%(29/41). Pneumothorax happened in 7 cases (17%), chest pain in 6 (14.6%), hemorrhage in 4 (9.7%) and fever in 1 (2.4%). Conclusions The method of diaphragm pleural biopsy with for-ceps' pleural biopsy trocar is simple, safe and effective. |
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| Keywords: | Pleural effusion Pleura Trocar Biopsy forceps |
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