胸膜活检在胸腔积液中的诊断价值

目的 评价胸膜活检对胸腔积液的诊断价值。方法 回顾性分析218例胸腔积液患者胸膜活检的结果，其中165例进行1次活检，42例进行2次活检，11例进行3次活检，共进行271次活检。结果 胸膜活检的总的阳性率为72．0％，其中1次胸膜活检成功的阳性率为59．6％，2次胸膜活检后阳性率为69．7％。并发症的发生率为8．7％。结论 胸膜活检是一种方法简便．安全、诊断率高的检查，反复多次不同部位的胸膜活检可以提高诊断的阳性率。

The pleural membrane biopsy accumulates the fluid patient's diagnosis value to the chest cavity

Objective To appraise the diagnosis value of pleural membrane biopsy on pleural effussion. Methods 218 patients with pleural effusion who were had pleual menbrane biopsy were retrospectively analyzed. Among them 165 cases were done only once,42 cases were done twice, 11 cases were done three times. They were done 271 times of biopsies. Results The pleural membrane biopsy always masculine gender rate was 72.0 %, 1 pleural membrane biopsy succeeds the masculine gender rate was 59.6 % ,after the masculine gender rate which 2 pleural membranes biopsies succeeds was 69.7 %. The illness complication formation rate was 8.7 %. Conclusion Pleural membrane biopsy is a simply, safe and higher diagnosing-rate method. The different spot pleural membrane biopsy may enhance diagnosis rate.