Morphological features of tuberculous pleurisy under thoracoscopy and its diagnostic value

Objective To investigate the morphological features of tuberculous pleurisy under thoracoscopy and evaluate the diagnostic value of thoracoscopy.MethodsRetrospective study were performed on the morphological features and pathological results of 125 patients who had been diagnosed with tuberculous pleurisy by thoracoscopy.Results108 patients(86.4%) were successfully diagnosed by thoracoscope,the other 17 patients were diagnosed with trials of anti-tuberculosis treatment.There were four types of the features of tuberculous pleurisy under thoracoscope,of which 19 patients with pleural congestive and edema,42 patients with diffused granules,40 patients with one or more sarcoidosis,and 24 patients with pleural thickening and adhesions.ConclusionThe morphological features of tuberculous pleurisy are variable,main changes are pleural congestive,edema and diffused granules.The pleural lesions is mainly distributed on costal pleura and diaphragmatic pleura.Thoracoscopy is of great value in the diagnose of tuberculous pleurisy.