Pulmonary Division, Department of Medicine, Hamad General Hospital, P.O.BOX 3050, Doha, Qatar.
Department of Medicine, Hamad General Hospital, P.O.BOX 3050, Doha, Qatar.
BMC Pulm Med. 2017 Nov 22;17(1):151. doi: 10.1186/s12890-017-0499-y.
With the exception of areas with high prevalence of tuberculosis, medical thoracoscopy is becoming the diagnostic modality of choice for exudative pleural effusions. The aims of this study were to determine the diagnostic yield and safety of medical thoracoscopy for exudative pleural effusions and ascertain the etiology of such effusions in Qatar.
This is a retrospective-descriptive study of 407 patients who underwent diagnostic medical thoracoscopy for exudative pleural effusions from January, 2008 till December, 2015 at the only tertiary referral center performing this procedure in Qatar.
Tuberculosis was the most common etiology of exudative pleural effusions in Qatar accounting for 84.5% of all causes. Around 85% of patients were young males (mean age of 33 ± 12.1 years). The diagnostic yield of medical thoracoscopy for tuberculous pleural effusion was 91.4%. Malignant pleural effusions accounted for 5.2% of cases. Minor bleeding occurred in 1.2% of cases with no procedure-related mortality observed.
Medical thoracoscopy is a very safe procedure. Tuberculous pleuritis is by far the most common etiology of exudative pleural effusions in Qatar. Closed needle biopsy is a worth consideration as an initial safe, easy and low-cost diagnostic modality for exudative pleural effusions in this country.
除了结核病高发地区外，内科胸腔镜检查已成为渗出性胸腔积液的首选诊断方法。本研究旨在确定内科胸腔镜检查对渗出性胸腔积液的诊断效果和安全性，并确定卡塔尔渗出性胸腔积液的病因。
这是一项回顾性描述性研究，纳入了 2008 年 1 月至 2015 年 12 月期间在卡塔尔唯一一家进行该操作的三级转诊中心接受诊断性内科胸腔镜检查的 407 例渗出性胸腔积液患者。
结核病是卡塔尔渗出性胸腔积液的最常见病因，占所有病因的 84.5%。约 85%的患者为年轻男性（平均年龄 33±12.1 岁）。内科胸腔镜检查对结核性胸腔积液的诊断率为 91.4%。恶性胸腔积液占 5.2%。1.2%的患者出现轻微出血，无与操作相关的死亡。
内科胸腔镜检查是一种非常安全的操作。结核性胸膜炎是卡塔尔渗出性胸腔积液最常见的病因。在该国，闭合性针吸活检作为一种安全、简便、低成本的初始诊断方法，值得考虑用于渗出性胸腔积液。
