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大量报道表明,胸腔镜检查对胸腔积液的诊断率达90%左右,较针吸活检及脱落细胞学检查为优.本文研究目的在于评价纤维胸腔镜与 Abrams 针吸活检(活检)及脱落细胞学检查的优劣。研究对象及方法 28例胸腔积液患者,年龄在45～77岁,男26、女2例.渗出液蛋白浓度超过40g/L,其中16例经活检及细胞学检查为阴性。首先在局麻下进行活检;然后行胸腔引流液和脱落细胞学检查;最后胸腔镜检查。
A large number of reports show that the diagnostic rate of pleural effusion of pleural effusion of about 90%, compared with needle biopsy and cytology is better exfoliated. The purpose of this study is to evaluate fiber thoracoscopy and Abrams needle aspiration biopsy (biopsy) and exfoliated cells The pros and cons of school inspection. Subjects and Methods 28 patients with pleural effusion, aged 45 to 77 years old, male 26, female 2. Exudate protein concentration over 40g / L, of which 16 were negative by biopsy and cytology. First biopsy under local anesthesia; and then underwent pleural drainage and cytology; final thoracoscopy.