Marchandise F X, Vandenplas O, Wallon J, Francis C
Pulmonary Section, Clinique de l'Europe, Brussels.
Acta Clin Belg. 1993;48(1):5-10. doi: 10.1080/17843286.1993.11718279.
Thoracoscopy was performed in 76 patients with chronic pleural effusions in which thoracocentesis and blind needle biopsy failed to reach a precise diagnosis. Analysis of thoracoscopic biopsies provided a definitive diagnosis in 53 of the 76 subjects. The diagnoses included 35 malignant diseases in which the macroscopic appearance was diagnostic in only 27 patients. Among these 76 patients, a talc dusting was performed in the management of recurrent effusion in 33 patients. No recurrence of pleural effusion was observed after 1 month in 87% and after 6 months in 76% of patients with recurrent pleural effusion. We confirm that thoracoscopy is a safe and useful technique for the diagnosis of pleural effusion which substantially decreases the necessity for diagnostic thoracotomy and that talc dusting is effective to achieve pleurodesis.
对76例慢性胸腔积液患者进行了胸腔镜检查，这些患者经胸腔穿刺术和盲目针吸活检未能明确诊断。对76例患者的胸腔镜活检分析，53例得到了明确诊断。诊断包括35例恶性疾病，其中仅27例患者通过肉眼观察即可诊断。在这76例患者中，33例患者在复发性胸腔积液的治疗中进行了滑石粉喷洒。复发性胸腔积液患者中，87%的患者在1个月后未观察到胸腔积液复发，76%的患者在6个月后未观察到复发。我们证实胸腔镜检查是诊断胸腔积液的一种安全有效的技术，可大幅减少诊断性开胸手术的必要性，且滑石粉喷洒对实现胸膜固定术有效。
