内科胸腔镜在恶性胸腔积液中的诊断价值。
Diagnostic value of medical thoracoscopy in malignant pleural effusion.
机构信息
Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
出版信息
BMC Pulm Med. 2017 Aug 4;17(1):109. doi: 10.1186/s12890-017-0451-1.
BACKGROUND
Medical thoracoscopy has been shown to be an efficacious procedure in diagnosing unexplained exudative pleural effusions with excellent safety. This study aimed to assess the diagnostic significance of thoracoscopy in the management of patients with malignant pleural effusion (MPE).
METHODS
Consecutive patients with malignant pleural effusion were retrospectively reviewed, and their demographic, radiographic, thoracoscopic and histological data were collected.
RESULTS
Between July 2005 and June 2014, 342 of 833 patients undergoing thoracoscopy were finally confirmed to suffer from MPE. The top three frequent causes of MPE were metastatic carcinoma (79.5%), malignant mesothelioma (10.2%), and lymphoma (2.9%). Among metastatic malignancies, the most common cancer was lung cancer (85.2%), followed by breast cancer (4.4%), ovarian cancer (2.2%), pancreatic cancer (1.8%), etc. No serious adverse events associated with thoracoscopy were recorded.
CONCLUSIONS
Medical thoracoscopy is a valuable and safe tool in diagnosing malignant pleural effusion with minimal complication rates.
背景
医学胸腔镜检查已被证明是一种有效的方法，可用于诊断原因不明的渗出性胸腔积液，且具有极好的安全性。本研究旨在评估胸腔镜检查在恶性胸腔积液（MPE）患者管理中的诊断意义。
方法
回顾性分析了连续接受胸腔镜检查的恶性胸腔积液患者，收集了他们的人口统计学、影像学、胸腔镜和组织学数据。
结果
2005 年 7 月至 2014 年 6 月，833 例接受胸腔镜检查的患者中，最终有 342 例被确诊为 MPE。MPE 的三个最常见病因是转移性癌（79.5%）、恶性间皮瘤（10.2%）和淋巴瘤（2.9%）。在转移性恶性肿瘤中，最常见的癌症是肺癌（85.2%），其次是乳腺癌（4.4%）、卵巢癌（2.2%）、胰腺癌（1.8%）等。胸腔镜检查无严重不良事件。
结论
医学胸腔镜检查是一种有价值且安全的工具，可用于诊断恶性胸腔积液，并发症发生率低。
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