Mathur P N, Astoul P, Boutin C
Department of Medicine, Indiana University Medical Center, Indianapolis, USA.
Clin Chest Med. 1995 Sep;16(3):479-86.
In summary, thoracoscopy offers several possibilities for diagnostic and therapeutic uses. Thoracoscopy helps in the diagnosis of pleural-based malignancy or tuberculosis with a high degree of accuracy when routine studies and closed needle pleural biopsies have failed. In patients in whom adequate visualization is possible, an unequivocal pathological diagnosis of benign diseases can be made with a specificity approaching 100%. Thoracoscopy is effective in the management of malignant pleural effusion and spontaneous pneumothorax.
总之，胸腔镜检查在诊断和治疗方面有多种用途。当常规检查和经皮闭式胸膜活检失败时，胸腔镜检查有助于高度准确地诊断胸膜恶性肿瘤或肺结核。对于能够获得充分视野的患者，良性疾病的明确病理诊断特异性接近100%。胸腔镜检查在恶性胸腔积液和自发性气胸的治疗中有效。
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