内科胸腔镜在结核性胸膜炎中的作用
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【摘要】 目的 观察结核性胸膜炎胸腔镜下形态表现,探讨结核性胸膜炎形态特征对诊断的价值。方法 回顾分析216例确诊结核性胸膜炎患者胸腔镜下形态表现,与其他结核诊断方法及最终疗效的相关性。结果 216例结核性胸膜炎患者镜下表现为胸腔积液,胸膜充血、水肿,渗液、渗血,糜烂,纤维素及粘连,粟粒样分散结节、多发结节、结节融合,胸膜肥厚。结论 胸腔镜下结核性胸膜炎形态多样,其特征不具有结核性病变特异性,但对结核性胸膜炎的诊断具有较高临床价值。
【关键词】胸腔镜;结核性;胸膜炎
Role of medicalthoracoscopy in the diagnosisoftuberculous pleurisy
ZHU Chun-li,WAN Xiong,GUI Tian-xu,et al.Department of Respiratory Medicine,Center Hospital of jiangjin,Chongqing,Jiangjin 402260, China
【Abstract】 Objective To investigate the morphological features of tuberculous pleurisy under thoracoscope and evaluate the diagnostic significance of thoracoscope for patients with tuberculous pleurisy.Methods Retrospectively analyzed of the morphological features under thoracoscope and pathological results of 216 patients who had been diagnosed as tuberculous pleurisy,compared thoracoscopy and other diagnostic methods,and its correlation with good curative effect ......
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