胸腔镜检查对胸腔积液的诊治价值

为评介胸腔镜检查对胸腔积液的诊断和治疗价值，对278例经常规检查未明确病因的胸腔积液患者，采用胸腔镜直视下病变处取活组织检查（活检），根据活检结果，分别采取不同的方法治疗，结果显示，胸腔镜的诊断率为94．6％（263／278），胸膜转移癌，胸膜间皮瘤，结核性胸膜炎镜下形态不同，血性胸水中恶性占78．8％，草黄色胸液中恶性占46．5％，对恶性胸水患者经胸腔镜喷洒滑石粉或注入抗癌药物治疗，对良性胸水患者进行了对因治疗，278例中无严重并发症，本组资料证实胸腔镜检查对胸腔积液是一种安全，有效的诊断手段。

Value of thoracoscopy on diagnosis and treatment of pleural effusion

To appraise the value of thoracoscopy on diagnosis and treatment of pleural effusion, 278 patients with pleural effusion undiagnosed by routine examination were examined by thoracoscopy, and different treatment were given to patients according to their examining results. Results showed that the diagnostic rate of thoracoscopy was 94.6% (263/278) and there were different appearances among metastatic carcinoma,mesothelioma and tuberculosis of pleura. There were 78.8% and 46.5% malignancy respectively in sanguinous and grass yellow pleural effusion,and spray anti-cancer drugs on them through thoracoscopy. Benign effusion was treated according to its etiology. There were no serious complications in 278 patients. These suggest thoracoscopy is a safe and effective method in the diagnosis of pleural effusion.