医学胸腔镜及闭式活检探讨未确诊的渗出性胸腔积液的原因

S. Hejazi, F. Rezaeetalab, Mohamadreza Kasraei
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引用次数: 0

摘要

简介:胸膜积液可在各种急性或慢性疾病中发生。尽管有不同的诊断检查,一些胸腔积液的病例可能仍然无法诊断。胸膜镜检查和闭式活检是诊断未确诊病例的常用诊断方法。本研究旨在评估伊朗医学胸膜镜检查和闭式活检的诊断率。材料和方法:本横断面研究于2016-2018年在伊朗东北部进行。本研究包括未确诊的淋巴细胞显性渗出性胸腔积液患者。所有患者均行内科胸膜镜检查或闭式胸膜活检。收集的数据采用SPSS软件(version 12)进行分析,p < 0.05为差异有统计学意义。结果:共有108例患者入组,平均年龄58.73±18.13岁。大约50名患者接受了针活检,其他58名患者接受了医学胸膜镜检查。慢性胸膜炎、恶性胸腔积液、阴性结果和结核是常见的结果。当胸膜炎为阴性结果,恶性、结核性胸腔积液为阳性结果时,内科胸腔镜阳性结果明显多于阴性结果(P=0.024)。手术后无患者出现并发症。结论:与其他研究相比,这两种技术对未确诊的胸腔积液的诊断率较低。因此,进行其他诊断检查(如影像学检查)可降低未确诊胸腔积液的发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating causes of undiagnosed exudative pleural effusion by medical Pleuroscopy and close biopsy
Introduction: Pleural effusion may develop during various acute or chronic medical conditions. Despite different diagnostic workups, some cases of pleural effusion may remain undiagnosed. Pleuroscopy and closed biopsy are common diagnostic approaches used for the diagnosis of undiagnosed cases. The present research aimed to evaluate the diagnostic yield of medical pleuroscopy and closed biopsy in Iran. Materials and methods: The present cross-sectional study was performed within 2016-2018, in the North-East of Iran. Patients who had undiagnosed lymphocytic predominance exudative pleural effusion were included in the present research. Every patient underwent medical pleuroscopy or closed pleural biopsy by an Abrams needle. The collected data were analyzed in SPSS software (version 12).Ap-valuelessthan0.05 was considered statistically significant. Results:A total of 108 patients with the mean age of 58.73±18.13 years enrolled in the present study. Around 50 patients underwent needle biopsy,while the other 58 patients went through medical pleuroscopy. Chronic pleuritis, malignant pleural effusion, negative results, and tuberculosis were the common results. When pleuritis is regarded as negative results and malignant and tuberculosis pleural effusion as positive results, medical thoracoscopy provides more significant positive results and fewer negative results (P=0.024). No patient developed complications after the procedures. Conclusion: In contrast to other studies, both of these techniques had low diagnostic yield for the diagnosis of undiagnosed pleural effusion. Therefore, performing other diagnostic workups (e.g., imaging techniques) may decrease the rate of undiagnosed pleural effusion.
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