胸腔积液的收集及超声引导下经皮引流
Pleural fluid collections and ultrasound guided percutaneous drainage.
作者信息
Cajozzo Massimo, Geraci Girolamo, Lo Nigro Chiara, Palazzolo Manuela, Raffaele Francesco, Pinna Roberto, Cajozzo Marta, Modica Giuseppe
机构信息
Department of Surgery and Oncology, Operative Unit of General and Thoracic Surgery, University of Palermo, Palermo, Italy.
出版信息
Ann Ital Chir. 2010 Nov-Dec;81(6):429-32.
INTRODUCTION
The presence of fluid collection in the pleural cavity is a frequent clinical problem that requires drainage for diagnostic and therapeutic purposes. Aim of our study is the retrospective evaluation of our experience in diagnostic and therapeutic thoracic drainage, to stress the cause of failure and to emphasise the cost-effectiveness of the technique.
MATERIALS AND METHODS
From January 1995 to May 2009, 564 therapeutic and diagnostic ultrasound (US) guided percutaneous drainages of pleural fluid collection were performed in 412 patients.
RESULTS
The macroscopic, biochemical, cytological and microbiological examination of the drained fluid diagnosed the presence of 80 (19.4%) transudates, 101 (24.5%) non neoplastic exudates, 55 (13.4%) neoplastic exudates, 152 (36.9%) empyema and 24 (5.8%) haemothorax. There were no major complications. Minor complications were present in 23/564 cases (4.0%).
CONCLUSIONS
The US guided puncture of the pleural fluid collection allows a high rate of success (in correct detection and drainage of chronic pleural effusions), reduces the rate of complications and is well accepted by patients.
引言
胸腔积液是常见的临床问题，需要进行引流以达到诊断和治疗目的。我们研究的目的是对我们在诊断性和治疗性胸腔引流方面的经验进行回顾性评估，以强调失败原因并突出该技术的成本效益。
材料与方法
1995年1月至2009年5月，对412例患者进行了564次治疗性和诊断性超声引导下经皮胸腔积液引流。
结果
对引流液进行的宏观、生化、细胞学和微生物学检查诊断出80例（19.4%）漏出液、101例（24.5%）非肿瘤性渗出液、55例（13.4%）肿瘤性渗出液、152例（36.9%）脓胸和24例（5.8%）血胸。无重大并发症。23/564例（4.0%）出现轻微并发症。
结论
超声引导下胸腔积液穿刺成功率高（能正确检测和引流慢性胸腔积液），并发症发生率低，且患者易于接受。
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