Clinical application value of medical thoracoscopy in pleural effusion

Objective To investigate the clinical application value of medical thoracoscopy in the pleural effusion.Methods The analysis,summary of medical thoracoscopy in diagnosis of pleural effusion were conducted in 96cases of clinical data,compared with the commonly used clinical differential diagnosis of benign and malignant pleural effusion,pleural effusion cell imaging and pathology and pleural biopsy,to evaluate the value of clinical application of medical thoracoscopy in the pleural effusion.Results The diagnosis rate in 96cases of patients with multiple sites of video-assisted thoracoscopic biopsy pathology was 94.8%(91/96):65cases of tuberculous pleurisy(67.7%),10cases of lung adenocarcinoma(10.4%),4cases of adenosquamous carcinoma(4.2%),7cases of pleural mesothelioma(7.3%),1case of small cell carcinoma(1.0%),renal clear cell carcinoma metastasis to the lung adenosquamous carcinoma in 1case(1.0%),2cases of empyema(2.1%),1case of chronic nonspecific inflammation(1.0%).The common complications of medical thoracoscopy including pain,fever,bleeding,subcutaneous emphysema and others,did not cause serious consequences.Conclusion Medical thoracoscopy is a safe,simple,minimally invasive diagnosis and treatment technology which has important clinical value in the diagnosis and treatment of pleural effusion.