纤支镜代替胸腔镜诊治不明原因胸腔积液的研究

目的探讨纤支镜代替胸腔镜诊治不明原因胸腔积液的价值。方法采用纤支镜代替胸腔镜对26例不明原因胸腔积液患者在局部麻醉下进行胸腔检查。结果①26例患者中25例获得了病因学诊断（阳性率96.15%）,全部都有病理学的诊断;②镜检中直视所见胸膜结核和转移性胸膜癌表现不同;③对转移性胸膜癌患者于术后行胸膜腔内注药效果好;④该方法并发症轻而少且经济节约。结论纤支镜代替胸腔镜诊治不明原因胸腔积液病因诊断的阳性率高,方法简单,创伤小,并发症少,经济节约,是一种值得临床使用的方法。

Fibrobronchoscopy replaces thoracoscopy to diagnose pleural effusion of unknown causes

Objectives To assess the value of fibrobronchoscopy in stead of thoracoscopy to diagnose pleural effusion of unknown causes.Methods We adopted the method of fibrobronchoscopy to diagnose 26 cases of pleural effusion of unknown causes under local anesthesia.Results Etiological and pathological diagnoses were made in 25 cases(96.15%).It could clearly distinguish tuberculous pleural effusion from malignant pleural effusion.It was convenient to infuse drugs into the thoracic cavity after operation.The complications induced by fibrobronchoscopy were mild and it was cost-effective.Conclusion Fibrobronchoscopy can be used to replace thoracoscopy in diagnosing pleural effusion of unknown causes.It is eligible for clinical use considering its advantages of being simple to use,less traumatic,economical,and incurring few complications.