2017•国际医药卫生导报Requires access
The analysis of diagnostic value and safety of medical thoracoscopy in unexplained pleural effusion
Yanbing Yang, Jie Ming Shen, Jingkui Zhou, Haiying Hu
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Abstract
Objective
To analyze the application value and safety of medical thoracoscopy in the diagnosis of unexplained pleural effusion.
Method
The clinical data of 26 patients with unexplained pleural effusion who underwent medical thoracoscopy was analyzed retrospectively.
Results
Among the 26 cases, there were 16 patients diagnosed as malignant tumor metastases (13 cases diagnosed as adenocarcinoma, 3 cases diagnosed as small cell carcinoma), and 10 patients diagnosed as tuberculous pleuritis. Malignant pleural effusion performancedas nodular changes mainly, what’s more, some lesions fused into mass. Tuberculous effusion mainly performancedas uniform pleural congestion and edema, small nodular or fiber adhesion. The common adverse reactions were pain and local bleeding, there were no serious complications.
Conclusion
Medical thoracoscopy has high sensitivity and diagnosis rate in the diagnosis of unexplained pleural effusion, relatively safe, with high security.
Key words:
Medical thoracoscopy; Unexplained pleural effusion; Diagnosis; Safety