Gwin E, Pierce G, Boggan M, Kerby G, Ruth W
Chest. 1975 May;67(5):527-31. doi: 10.1378/chest.67.5.527.
Diagnostic pleuroscopy has been performed under local anesthesia in nine patients using a gas sterilized flexible fiberoptic bronchoscope inserted through a 1 to 2 cm chest incision into the pleural space. Pleuroscopy in one patient excluded recurrent neoplasm on the pleural aspect of a bronchopleural fistula. Another patient had a pleuroscopic biopsy of the lung, which was the only method successful in diagnosing a metastatic renal carcinoma. The other seven patients were studied for pleural effusions which were undiagnosed after study of pleural fluid and/or Abrams needle biopsy. In four of them pleural implants of carcinoma were visualized and proved by biopsy. Three patients had negative pleuroscopy, two of these also being negative at subsequent thoracotomy. One was not explored because of extrathoracic metastases. The procedures were performed with minimal patient discomfort and no serious complications.
已在局部麻醉下对9例患者进行了诊断性胸膜镜检查，使用经气体消毒的可弯曲纤维支气管镜，通过1至2厘米的胸部切口插入胸膜腔。一名患者的胸膜镜检查排除了支气管胸膜瘘胸膜面的复发性肿瘤。另一名患者进行了肺部胸膜镜活检，这是成功诊断转移性肾癌的唯一方法。其他7例患者因胸腔积液在进行胸腔积液研究和/或亚伯拉姆斯针吸活检后仍未确诊而接受检查。其中4例可见胸膜癌种植并经活检证实。3例患者胸膜镜检查结果为阴性，其中2例在随后的开胸手术中也为阴性。1例因胸外转移未进行探查。这些操作给患者带来的不适最小，且未出现严重并发症。
