Weissberg D, Kaufman M, Zurkowski Z
Ann Thorac Surg. 1980 Mar;29(3):205-8. doi: 10.1016/s0003-4975(10)61868-1.
We performed diagnostic pleuroscopy in 66 patients with pleural effusion and in 14 with pleural masses. The findings were diagnostic in 76 patients (95%). Pleural metastases were found in 63 patients, primary pleural or lung tumor in 5, and less common findings in the remainder. Only 1 minor complication occurred, and there were no deaths. Malignant pleural effusion causing dyspnea was managed successfully by talc insufflation under direct vision in 31 of 35 patients. Talc also was used with equal success and without complications in management of recurrent pneumothorax. We conclude that pleuroscopy is a useful diagnostic and therapeutic procedure. It is simple and well tolerated, has a diagnostic yield of 95%, and is virtually free from complications. It provides the best way of insufflating talc for pleurodesis.
我们对66例胸腔积液患者和14例胸膜肿块患者进行了诊断性胸腔镜检查。76例患者（95%）的检查结果具有诊断价值。63例患者发现胸膜转移，5例为原发性胸膜或肺部肿瘤，其余为少见情况。仅发生1例轻微并发症，无死亡病例。35例因恶性胸腔积液导致呼吸困难的患者中，31例在直视下通过滑石粉吹入成功进行了治疗。滑石粉在复发性气胸的治疗中也同样成功且无并发症。我们得出结论，胸腔镜检查是一种有用的诊断和治疗方法。它操作简单，耐受性良好，诊断阳性率为95%，几乎无并发症。它为胸膜固定术提供了最佳的滑石粉吹入方法。
