Thompson D H, Edwards A, Mills A E
Ann R Coll Surg Engl. 1979 May;61(3):215-6.
To assess an open technique of pleural biopsy as an aid to diagnosis in pleural disease 107 African patients with radiological evidence of pleural effusion underwent biopsy. In 87 there was radiological evidence of an effusion but not of underlying lung disease; 73 patients (84%) in this group were ultimately diagnosed as suffering from tuberculosis and of these 56 (77%) had a positive pleural biopsy. There was a heavy male predominance of tuberculous infection (male:female ratio approximately 5:1) and half of the patients were aged 21 to 30 years. In the 20 patients with radiological changes in the lung a diagnosis was established by biopsy in 13 cases. Four of these were tuberculous and a further two cases of tuberculosis were established on clinical grounds.
为评估开放式胸膜活检技术对胸膜疾病诊断的辅助作用，对107例有胸腔积液放射学证据的非洲患者进行了活检。其中87例有胸腔积液的放射学证据，但无潜在肺部疾病；该组73例患者（84%）最终被诊断为患有结核病，其中56例（77%）胸膜活检呈阳性。结核感染男性占比极高（男女比例约为5:1），半数患者年龄在21至30岁之间。在20例肺部有放射学改变的患者中，13例通过活检确诊。其中4例为结核，另有2例根据临床情况确诊为结核。
