Wu M H, Hsiue R H, Tseng K H
Department of Surgery, National Cheng Kung University Hospital, Taiwan, R.O.C.
Jpn J Clin Oncol. 1989 Jun;19(2):116-9.
Between January 1981 and December 1986, thoracoscopies were carried out on 152 patients in order to evaluate the diagnostic accuracy of the technique in cases of pleural effusion. All patients had previously undergone a thoracentesis together with an unguided pleural biopsy but had remained undiagnosed. Of them, 74 cases were confirmed as malignant; the others were benign. In 71 of the 74 cases of malignant pleural effusion, an accurate diagnosis had been obtained from the thoracoscopy and guided pleural biopsy, a diagnostic accuracy of 94.6%. Among 78 cases, diagnosed by the thoracoscopy as benign pleural effusion, there were 63 cases of tuberculosis and 15 of non-specific pleurisy. Nine of the 15 cases of non-specific pleurisy showed no evidence of malignancy after being under observation for between six and 30 months, the remaining six cases being lost in the follow-up. No complication arose in our series. We conclude that thoracoscopy is a safe and useful diagnostic procedure for pleural effusion.
1981年1月至1986年12月期间，对152例患者进行了胸腔镜检查，以评估该技术在胸腔积液病例中的诊断准确性。所有患者此前均接受过胸腔穿刺术及无引导的胸膜活检，但仍未确诊。其中74例确诊为恶性，其余为良性。在74例恶性胸腔积液病例中，71例通过胸腔镜检查及引导下胸膜活检获得了准确诊断，诊断准确率为94.6%。在胸腔镜检查诊断为良性胸腔积液的78例病例中，有63例为结核性胸膜炎，15例为非特异性胸膜炎。15例非特异性胸膜炎病例中有9例在观察6至30个月后未发现恶性证据，其余6例在随访中失访。我们的系列病例中未出现并发症。我们得出结论，胸腔镜检查是一种安全且有用的胸腔积液诊断方法。
