诊断性胸腔镜术探讨

以胸腔积液为主要适应症以及其他胸部疾患共71例，53例胸腔积液中绝大多数经胸片、CT、纤支镜、胸膜活检等全身检查未完全明确诊断，进行了胸腔镜检查，镜下及病理活检结果确诊为结核、腺癌、鳞癌、胸膜间皮瘤、恶性淋巴瘤等。非胸腔积液18例经胸腔镜确诊为炎性假瘤、恶性淋巴瘤等。非胸腔积液18例经胸腔镜确诊为炎性假瘤、肺大疤、胸壁血管渗血等疾患。提示诊断性胸腔镜求是胸部疾病一项重要病理诊断措施。该文以实例分析表明诊断性胸腔镜检查具有创伤小，器械简单，结果可靠，并发症少，术后恢复快等优点，有极佳应用前景。

STUDY OF DIAGNOSTIC THORACOSCOPY:A REPORT OF 71 CASES

A fiber optics bronchoscope or a rigid cold light thoracoscope was used to perform a diagnostic thoracoscopy on 71patients with pleural effusion or other pleural diseases. Most of the patients were not diagnosed with chest X - rays,CT, fibrobronchoscopy or pleural biopsy. The thoracoscopic biopsies and pathologic diagnoses showed tuberculosis,carcinoma, pleural mesothelioma, malignant lymphoma, pulmonary inflammatory pseudo-tumor, subpleural blebs orbullae and ruptured chest wall blood vessels. The restilts indicate that diagnostic thoracoscopy is an important diag-nostic procedure in thoracic medicine. The primary value of this endoscopy is that it provides a safe, minimally inva-sive diagnostic technique that does not require general anesthesia.