纤维支气管镜在胸腔积液检查中的作用。
The role of fibreoptic bronchoscopy in the investigation of pleural effusion.
作者信息
Heaton R W, Roberts C M
机构信息
Department of Medicine, Charing Cross and Westminster Medical School, London, UK.
出版信息
Postgrad Med J. 1988 Aug;64(754):581-2. doi: 10.1136/pgmj.64.754.581.
Published data on the role of fibreoptic bronchoscopy in the investigation of pleural effusions are sparse and conflicting. We have reviewed our experience from November 1980 to December 1986. Thirty-two patients were identified from bronchoscopy records as having undergone the procedure during the evaluation of an effusion. Fibreoptic bronchoscopy was diagnostic in 6 of the 32 cases, but less invasive procedures had given the diagnosis in 4, and in the other 2 cases radiological abnormalities other than the effusion suggested an underlying bronchial malignancy. We conclude that routine fibreoptic bronchoscopy is not justified in the evaluation of pleural effusions.
关于纤维支气管镜检查在胸腔积液检查中的作用，已发表的数据稀少且相互矛盾。我们回顾了1980年11月至1986年12月期间的经验。从支气管镜检查记录中确定有32例患者在评估胸腔积液期间接受了该检查。32例中有6例纤维支气管镜检查具有诊断价值，但另有4例通过侵入性较小的检查已得出诊断，另外2例除胸腔积液外的放射学异常提示存在潜在支气管恶性肿瘤。我们得出结论，在评估胸腔积液时，常规纤维支气管镜检查并无必要。
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