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胸腔镜检查在良性胸腔积液的诊断中是否有作用?

Is there any role for thoracoscopy in the diagnosis of benign pleural effusions.

作者信息

Anevlavis Stavros, Varga Csaba, Nam Tse Hoi, Man Raymond Wong Chun, Demetriou Artemios, Jain Nitin, Lanfranco Anthony, Froudarakis Marios E

机构信息

Department of Respiratory Medicine, University Hospital of Evros, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Clin Respir J. 2019 Feb;13(2):73-81. doi: 10.1111/crj.12983.

Abstract

Thoracoscopy in the endoscopy suite, has a high diagnostic yield of undiagnosed pleural effusions with minimal and mild complications. Whereas relatively minimal invasive techniques, such as thoracentesis, image-guided pleural biopsy or blind pleural biopsy, can yield sufficient cell or tissue material to establish the diagnosis of the underlying condition, more definite invasive diagnostic and therapeutic procedure, such as thoracoscopy, may be required for accurate sampling and diagnosis, and further provide real-time treatment options in same procedure. If thoracoscopy is considered the gold standard for the diagnosis is a fact in case. The current review aims to provide informations on thoracoscopy indications in benign pleural diseases according to up to date publications.

摘要

在内镜室进行的胸腔镜检查,对于未确诊的胸腔积液具有较高的诊断率,且并发症轻微。虽然相对微创的技术,如胸腔穿刺术、影像引导下胸膜活检或盲法胸膜活检,能够获取足够的细胞或组织材料以明确潜在疾病的诊断,但对于准确采样和诊断,可能需要更明确的侵入性诊断和治疗程序,如胸腔镜检查,并且该检查还能在同一操作中提供实时治疗方案。如果胸腔镜检查被视为诊断的金标准,那么在这种情况下确实如此。本综述旨在根据最新的出版物提供有关胸腔镜在良性胸膜疾病中的适应证的信息。

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