Abstract：ObjectiveTo discuss the diagnostic value of medical thracoscopy on pleural effusion of unknown origin and conclude imaging characteristics of various causes of pleural effusion under medical thracoscopy.MethodsRetrospective analysis of the causes of ninety patients with pleural effusion.All the patients were collected clinical information and thoracoscopic image characters.ResultsAmong ninety cases of patients with pleural effusion,the most common causes were inflammation and malignance (26.7%,55.6%).In clinical information,yellow effusion was common in tuberculosis,and blood was common in malignant effusion.Under medical thoracoscopy miliary nodules and extensive adhesion were common in tuberculosis;separation,wrapping and diffuse nodules were common in malignant effusion.ConclusionsThe most common causes of pleural effusion of unknown origin are malignance,inflammation and tuberculosis.Combination of clinical information,pleuraleffusion biochemical test and medical thoracoscopy could improve diagnostic efficiency of pleural effusion.Medical thoracoscopy has the advantages of limit wound,rapid recovery and high safety,which should be a standard diagnostic method for pleural effusion of unknown origin.
收稿日期: 2014-08-01
通讯作者:
李春，Email：li.chun@zshospital.sh.cn
引用本文:
杨达伟 何礼贤 李春. 内科胸腔镜检查对不明原因胸腔积液的诊断价值[J]. 中华诊断学电子杂志, 2014, 2(3): 191-194.
Yang Dawei,He Lixian,Li Chun. Diagnostic value of medical thoracoscopy on pleural effusion of unknown origin. zhzdx, 2014, 2(3): 191-194.
