The Value of Pleural Biopsy in the Etiological Diagnosis of Pleural Effussion_West China Medical Journal

Authors：

CHEN Lipin , YANG Xiaohong , WU Chao

Xinjiang autonomous Region People’s Hospital 1st Breathing Branch, Xinjiang Urumqi 830001, China;

Corresponding?author：

Keywords：

胸膜活檢; 胸腔積液

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目的:探討胸膜活檢對胸腔積液病因診斷的價值。方法:對127例胸腔積液患者行首次胸膜活檢術。結果:127例患者獲取胸膜組織125例, 穿刺成功率98.4%,經病理檢查有41例為正常胸膜組織,特異性病理診斷84例,病理診斷陽性率(67.2%)。惡性胸腔積液胸膜活檢陽性38例(45.2%),結核性胸腔積液胸膜活檢陽性31例(36.9%),非特異性炎15例(17.9%)。38例惡性腫瘤經免疫組織化學和特殊染色分類,腺癌27例,小細胞肺癌2例,鱗癌2例,惡性間皮瘤2例,轉移癌3例,淋巴瘤1例,未分化癌1例。發生并發癥者4例(3.1%),全部為氣胸,肺壓縮均小于15%,未做特殊處理數日后自行吸收。結論:胸膜活檢是一項安全、簡單、有效的胸膜疾病的重要的內科確診手段。

Citation： CHEN Lipin,YANG Xiaohong,WU Chao. The Value of Pleural Biopsy in the Etiological Diagnosis of Pleural Effussion. West China Medical Journal, 2009, 24(8): 2018-2020. doi: Copy

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5.	CHAKRABARTI B, RYLAND I, SHEARD J, et al. The role of Abrams percutaneous pleural biopsy in the investigation of exudative pleural effusions[J]. Chest,2006, 129 (6):1549-1555.
6.	解鄭良, 劉躍建,黃紀貴. 胸膜活檢對胸腔積液病因診斷的臨床價值[J].華西醫學,2008, 23(1):40.
7.	張素娟,潘順權,劉皓.胸膜活檢在胸膜疾病診斷中的地位和安全性評估[J].中華全科醫師雜志,2003,2(6):358-360.

1. 朱元玨,陳文彬.呼吸病學[M].北京:人民衛生出版社,2002:487-489,1279-1282.
2. SOKOLOWSKI J W, URGHER L W, ONES F L, et al. Guidelines for thoracentesis and needle biopsy of the pleural[J].Am Rev Respir Dis,1989,140(1):257-258.
3. BAUMANNMH. CLOSED LEURAL BIOPSY: NOT DEAD YET.[J] Chest,2006,129 (6):1398-1400.
4. 曹雪如.胸膜活檢診斷不明原因胸腔積液的臨床分析[J].臨床肺科雜志.2006.3(11):292.
5. CHAKRABARTI B, RYLAND I, SHEARD J, et al. The role of Abrams percutaneous pleural biopsy in the investigation of exudative pleural effusions[J]. Chest,2006, 129 (6):1549-1555.
6. 解鄭良, 劉躍建,黃紀貴. 胸膜活檢對胸腔積液病因診斷的臨床價值[J].華西醫學,2008, 23(1):40.
7. 張素娟,潘順權,劉皓.胸膜活檢在胸膜疾病診斷中的地位和安全性評估[J].中華全科醫師雜志,2003,2(6):358-360.

West China Medical Journal

The Value of Pleural Biopsy in the Etiological Diagnosis of Pleural Effussion

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