经皮胸膜活检对胸腔积液病因诊断的价值

目的：探讨经皮胸膜活检对胸腔积液病因诊断的价值和安全性。方法回顾性分析86例胸腔积液行闭式胸膜活检患者的临床资料。结果经皮胸膜活检成功率为95.3%，直接明确病因诊断的共57例，确诊率为66.3%，其中结核性胸膜炎阳性率为91.3%，恶性胸腔积液的阳性率48.4%，发生胸膜反应3例，气胸1例。结论经皮胸膜活检操作简单、易行、创伤小、安全、阳性率高，对胸腔积液的诊断具有较高价值。

Value of percutaneous pleural biopsy in the etiological diagnosis of pleural effusion

Objective To evaluate the value and safety of percutaneous pleural biopsy in the etiological diagnosis of pleural effusion. Methods A retrospective analysis of the clinical data of 86 patients with pleural effusion for closed pleural biopsy patients. Results Transcutaneous pleural biopsy success rate was 95.3%, the direct etiological diagnosis were 57 cases, the diagnosis rate was 66.3%, the positive rate of tuberculosis pleurisy was 91.3%, the positive rate of malignant pleural effusion was 48.4%, 3 cases of pleural reaction, 1 case of pneumothorax. Conclusion Transcutaneous pleural biopsy has the advantages of simple operation, convenient, less traumatic, safe, high positive rate, has high value in diagnosis of pleural effusion.