腹腔镜外科杂志2025，Vol.30Issue(5)：331-335,5.DOI:10.13499/j.cnki.fqjwkzz.2025.05.331
胸腔镜诊断不明原因渗出性胸腔积液的准确率及术后持续性咳嗽的危险因素
Accuracy of thoracoscopy in diagnosing unexplained exudative pleural effusion and risk factors of postoperative persistent cough
摘要
Abstract
Objective:To explore the diagnostic value of thoracoscopy in unexplained exudative pleural effusion and risk factors of postoperative persistent cough.Methods:A total of 127 patients with unexplained exudative pleural effusion admitted from Mar.2019 to Nov.2022 were selected,and all patients underwent thoracoscopic diagnosis.The accuracy of thoracoscopy in diagnosing the etiology of exudative pleural effusion and imaging characteristics were analyzed.Patients with clear causes were taken as the research subjects,the incidence of persistent cough after surgery was statistically analyzed.Patients with persistent cough after surgery were assigned to the observation group,while those without persistent cough were assigned to the control group.The clinical and pathological characteristics of the two groups were compared;and logistic multivariate analysis was used to identify risk factors for postoperative persistent cough.Results:Among the 127 patients with exudative pleural effusion,122 cases had clear causes,and the diagnostic accuracy of thoracosco-py was 96.06％;Benign lesions accounted for 59.06％,with tuberculous pleurisy being the main cause,malignant lesions accounted for 37.01％,with pulmonary adenocarcinoma being the main cause;The thoracoscopic signs varied among different causes,showing hetero-geneous characteristics.Among 122 patients with clear causes,35(28.69％)developed persistent cough after surgery(observation group),and 87(71.31％)had no persistent cough complications(control group).Significant differences were observed between the two groups in terms of age,body mass index,smoking history,surgical side,depth of pleural effusion,etiology,preoperative cough,dura-tion of anesthesia,pneumonectomy,and peritracheal lymph node dissection(P＜0.05).Logistic results showed that malignant causes,preoperative cough,duration of anesthesia,pneumonectomy,and peritracheal lymph node dissection were independent influencing factors for persistent cough after surgery(P＜0.05).Conclusions:Malignant etiology,preoperative cough,anesthesia time,and treatment deci-sions are the main risk factors for persistent cough after surgery.Thoracoscopy has a high accuracy rate in diagnosing unexplained exu-dative pleural effusion,which can accurately identify the nature of pleural effusion and provide a reliable basis for subsequent treatment decisions.关键词
渗出性胸腔积液/胸腔镜检查/诊断/病因/持续性咳嗽/危险因素Key words
Exudative pleural effusion/Thoracoscopy/Diagnosis/Etiology/Persistent cough/Risk factors分类
医药卫生引用本文复制引用
徐仰玲,张永青,孙煜,王云霞,吴长刚..胸腔镜诊断不明原因渗出性胸腔积液的准确率及术后持续性咳嗽的危险因素[J].腹腔镜外科杂志,2025,30(5):331-335,5.基金项目
山东省医药卫生科技发展计划项目(202203100840) （202203100840）
