重庆医学Issue(22)：3045-3047,3.DOI:10.3969/j.issn.1671-8348.2015.22.007
内科胸腔镜对结核性胸腔积液的诊断价值∗
Diagnosis significance of medical thoracoscopy in tuberculous pleural effusion
摘要
Abstract
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.关键词
结核性胸腔积液/内科胸腔镜/诊断Key words
thoracoscopy/tuberculous pleural effusion/diagnosis分类
医药卫生引用本文复制引用
周晓宇,孙耕耘,李伟,丁强,陈余清..内科胸腔镜对结核性胸腔积液的诊断价值∗[J].重庆医学,2015,(22):3045-3047,3.基金项目
国家临床重点专科建设项目基金(2012-649) （2012-649）
安徽省科技计划项目(11010402169)。 （11010402169）
