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[电视胸腔镜在渗出性胸膜炎诊治中的应用]

[Videothoracoscopy in diagnosing and treating exudative pleuritis].

作者信息

Ots O N, Samokhin A Ia, Strel'tsov V P, Solov'eva I P, Sokolova V S, Belostotskiĭ A V, Perel'man M I

出版信息

Probl Tuberk. 2001(9):34-6.

PMID:11858087
Abstract

Telethoracoscopy (TT) was performed in 76 patients with exudative pleurisy of unclear etiology. A correct diagnosis was made in all (100%) cases. Tuberculosis was detected in 41 (54%) patients. In this group of patients, the results were analyzed by taking into account the duration of disease, the nature of an operation, and morphological findings. In tuberculous pleurisy, TT may be conducted at any time; however, it is most effective when an acute period subsides and an exudate begins forming. At this time (2-3 months after the onset of the disease), surgery is not diagnostic, but also remedial as sanitation of the pleural cavity with partial pleurectomy.

摘要

对76例病因不明的渗出性胸膜炎患者进行了电视胸腔镜检查(TT)。所有病例(100%)均做出了正确诊断。41例(54%)患者检测出患有结核病。在这组患者中,根据病程、手术性质和形态学检查结果对结果进行了分析。在结核性胸膜炎中,TT可在任何时间进行;然而,在急性期消退且渗出液开始形成时最为有效。此时(疾病发作后2 - 3个月),手术不仅具有诊断性,而且通过部分胸膜切除术对胸腔进行清理还具有治疗作用。

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