Sharma Malay, Rameshbabu Chittapuram Srinivasan
Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, India.
Department of Anatomy, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India.
Lung India. 2017 Sep-Oct;34(5):441-447. doi: 10.4103/lungindia.lungindia_550_16.
The most efficient and cost-effective approach for the diagnosis of pleural exudates remains uncertain and is a subject of controversy. Essential factors to be considered include the respective diagnostic yields of thoracocentesis, closed pleural biopsy, and thoracoscopy. The role of endoscopic ultrasound (EUS) of the esophagus as a modality for the evaluation of pleural exudates has not yet been evaluated. The applied anatomy of the pleura has been discussed. The techniques involved in the EUS imaging of different aspects of the pleura in normal cases and in cases with pleural effusion are elaborated. The practical application of this knowledge can be useful in EUS-guided sampling of the pleural wall, pleural nodules, and in cases of pleural effusion.
对于胸腔积液的诊断，最有效且最具成本效益的方法仍不明确，是一个存在争议的话题。需要考虑的关键因素包括胸腔穿刺术、闭式胸膜活检和胸腔镜检查各自的诊断阳性率。食管内镜超声（EUS）作为评估胸腔积液的一种方式，其作用尚未得到评估。文中讨论了胸膜的应用解剖学。详细阐述了正常情况和胸腔积液病例中胸膜不同方面的EUS成像所涉及的技术。这些知识的实际应用在EUS引导下对胸膜壁、胸膜结节以及胸腔积液病例进行采样时可能会有所帮助。
