Antona Gómez J M, Domínguez Platas T, Entrenas Costa L M, Checa Pinilla J M, Fuentes Otero F, Pérez Miranda M
Departamento de Medicina Interna, Hospital Universitario Regional Infanta Cristina, INSALUD, Badajoz.
Rev Clin Esp. 1993 Oct;193(6):281-5.
Results and complications of 100 consecutive thoracoscopies performed with local anesthesia, in our department of pneumology are reviewed. The group is constituted by 60 men and 40 women with an average age of 56.1 +/- 16.7 years (13-81). Age difference between tumoral (n = 58) and tuberculous patients (n = 13) was statistically significant (59.6 +/- 12.8 vs 39.3 +/- 18.7; p < 0.001). The most frequent symptom on presentation was dyspnea, an significant association was detected between fever and tuberculosis (p < 0.001). Final diagnosis were: tumor (n = 58), non-specific inflammation (n = 16), tuberculosis (n = 13), pneumothorax (n = 11) and pneumonia (n = 2). In 14 patients some complication of the procedure appeared, all of these had little clinical significance and were resolved with minimal nursing care. To diagnose tumor, macroscopic aspect showed a sensitivity of 96.1%, specificity of 86% and 92% assurance.
回顾了我院呼吸科连续进行的100例局部麻醉下胸腔镜检查的结果及并发症。该组患者包括60名男性和40名女性，平均年龄为56.1±16.7岁（13 - 81岁）。肿瘤患者（n = 58）和结核患者（n = 13）之间的年龄差异具有统计学意义（59.6±12.8 vs 39.3±18.7；p < 0.001）。就诊时最常见的症状是呼吸困难，发热与结核病之间存在显著关联（p < 0.001）。最终诊断结果为：肿瘤（n = 58）、非特异性炎症（n = 16）、结核病（n = 13）、气胸（n = 11）和肺炎（n = 2）。14例患者出现了手术相关并发症，所有这些并发症临床意义不大，经 minimal nursing care（此处可能有误，推测为“最小护理干预”之类的意思）后得到解决。为诊断肿瘤，宏观表现显示敏感性为96.1%，特异性为86%，准确性为92%。
