Boutin C, Guerin J C, Viallat J R, Astoul P, Bejui-Thivolet F
Service de Pneumologie, Hôpital de la Conception, Marseille.
Rev Mal Respir. 1992;9(1):81-97.
Pleural diseases frequently pose problems to the pulmonary physician. The clinical and radiological approaches are often insufficient and it is necessary to resort to techniques which enable a precise morphological diagnosis of the pleural lesion. Starting with a needle puncture and biopsy, the medical investigation of the pleura has been enriched by thoracoscopy which enables visualisation of not only the parietal and visceral pleura and the lung but also the mediastinum and the pericardium. Using this technique the diagnostic yield and the harmless nature of the technique are of the first importance. After recording traditional techniques of investigation of lung disease (puncture, needle biopsy) the equipment, the technique, the indications and the risks and the diagnostic results from thoracoscopy are discussed.
胸膜疾病常常给肺科医生带来难题。临床和放射学方法往往并不充分，因此有必要采用能够对胸膜病变进行精确形态学诊断的技术。从针刺活检开始，胸膜的医学检查因胸腔镜检查而得到丰富，胸腔镜检查不仅能观察壁层和脏层胸膜以及肺，还能观察纵隔和心包。使用这项技术时，该技术的诊断率和无害性至关重要。在记录了传统的肺部疾病检查技术（穿刺、针吸活检）后，讨论了胸腔镜检查的设备、技术、适应症、风险以及诊断结果。
