内科胸腔镜对结核性胸腔积液的诊断价值?

目的：研究内科胸腔镜对结核性胸腔积液的诊断价值及安全性。方法收集52例疑似结核性胸腔积液患者，评估内科胸腔镜的确诊率、并发症情况。结果52例患者中结核性胸腔积液33例，内科胸腔镜确诊29例，诊断率88%。本组结核性胸腔积液胸腔镜下主要表现：粟粒样结节23例(70%)，纤维条索状粘连带12例(36%)，广泛包裹伴纤维素沉积7例(21%)，白色瘢痕5例(15%)。并发症均可缓解或治愈，最严重者为气体栓塞1例。结论内科胸腔镜对结核性胸腔积液的诊断均具有较高的诊断价值及安全性。

Diagnosis significance of medical thoracoscopy in tuberculous pleural effusion

Objective To assess the accuracy and safety of medical thoracoscopy(MT)in the diagnosis of tuberculous pleural effusion.Methods We evaluated 52 patients who were suspected tuberculous pleural effusion.The diagnosis rate and complications of medical thoracoscopy was assessed.Results About 33 of 52 patients were tuberculous pleural effusion.Twenty-nine cases were diagnosed by medical thoracoscopy,and the diagnostic rate was 88%.Under the thoracoscope,clinical manifestations of these pa-tients with tuberculous pleuritic were miliary nodules in 23 cases (70%),fiber cord-like adhesions in 12 cases (36%),extensive wrapped with fiber deposition in 7 cases(21%),and white scar in 5 cases (1 5%).All complication was relived or caused,and 1 case of gas embolism was the most serious one.Conclusion Medical thoracoscopy was a method with high diagnostic value and safety in the diagnosis of tuberculous pleural effusion.