内科胸腔镜常规胸膜活检联合冷冻活检对胸腔积液的诊断价值

Diagnostic value of thoracoscopy routine pleural biopsy combined with frozen biopsy for pleural effusion

摘要:

目的??探讨内科胸腔镜常规胸膜活检联合冷冻活检对胸腔积液的诊断价值及安全性。方法?回顾性分析常规活检及联合冷冻活检对胸腔积液的病理确诊率。结果?进行胸腔镜检查的120例患者中，常规活检中103例得到确诊（85.8%），有16例在发现病变时用常规钳夹未取得满意组织标本，联合冻切的方法获得了满意的标本，16例冷冻活检均获得阳性结果，阳性率100.0%，常规活检联合冷冻活检总阳性率为95.0%，与常规活检确诊率差异有统计学意义（P <0.05）。结论?内科胸腔镜常规胸膜活检联合冷冻活检可以达到更高的病理确诊率，且并发症轻微，值得在临床推广。

Abstract:

Objective?To investigate the diagnostic value and safety of thoracoscopy routine pleural biopsy combined with frozen biopsy for pleural effusion.?Methods?A retrospective analysis was made on the pathological diagnosis rate of pleural effusion.?Results?120 cases in thoracoscopy, 103 cases were confirmed with routine biopsy specimens (85.8%), 16 cases found in the lesions with conventional clamp not satisfactory tissue specimens, combined with frozen cut obtained satisfactory specimens, the diagnostic accuracy rate of 16 cases of cryobiopsy was 100.0%, and the total diagnostic accuracy rate of medical thoracoscopy combined with pleural biopsy and cryobiopsy was 95.0%. There was significant difference between conventional biopsy and cryobiopsy (P < 0.05).?Conclusion?Medical thoracoscopy combined with pleural biopsy and cryobiopsy can achieve a higher rate of pathological diagnosis, and the complications are mild, so it is worthy of clinical promoting.