Sharma S, D'Cruz A
Department of Thoracic Surgery, Tata Memorial Hospital, Bombay, India.
J Surg Oncol. 1991 Oct;48(2):133-5. doi: 10.1002/jso.2930480212.
Between 1985 and 1989, 27 patients underwent thoracoscopy for an undiagnosed pleural effusion. Prior thoracocentesis (in all patients) and a needle pleural biopsy (in 15 patients) had been nondiagnostic. The rigid thoracoscope was used in 21 patients, the cystoscope in 4 patients, and the flexible bronchoscope in 2 patients. We had one mortality, and there was no operative morbidity. Thoracoscopy was diagnostic in 24 of the 27 patients (4 benign, 20 malignant). The average duration of stay in the hospital was 48 hr. We conclude that thoracoscopy is an important diagnostic aid in the management of a pleural effusion of ambiguous origin and that it is a relatively safe procedure that can be performed with an acceptable morbidity and mortality.
1985年至1989年间，27例患者因不明原因胸腔积液接受了胸腔镜检查。此前所有患者均进行了胸腔穿刺术，15例患者进行了经皮针刺胸膜活检，但均未能明确诊断。21例患者使用了硬质胸腔镜，4例患者使用了膀胱镜，2例患者使用了可弯曲支气管镜。我们有1例死亡病例，无手术相关并发症。27例患者中有24例通过胸腔镜检查明确了诊断（4例为良性，20例为恶性）。患者平均住院时间为48小时。我们得出结论，胸腔镜检查是处理病因不明胸腔积液的重要诊断辅助手段，且该检查相对安全，手术并发症及死亡率均可接受。
