Medical thoracoscopy in the diagnosis of pleural effusion.docVIP

 PAGE \* MERGEFORMAT 11 Medical thoracoscopy in the diagnosis of pleural effusion Of: Zhou Ying, Yip Man, such as leaf Jun, Chen Yan Fan, Li Ping, Chen into water [Abstract] Objective: To explore the medical thoracoscopy in pleural effusion of unknown causes diagnosis. Methods: 55 patients with pleural effusion underwent medical examination thoracic surgery under direct vision to take lesions for pathological examination. Results: Thoracoscopic Multiple pleural visible under white nodules in 31 cases, the formation of pleural thickening separated fibers in 7 cases, congestion and edema in 6 cases, diffuse miliary white nodules like 4 cases, multiple nodules with pleural adhesions in 4 cases, leukoplakia pleura in 2 cases, no abnormalities were found in 1 case. pathologic diagnosis showed 28 cases of pleural tuberculosis, 17 cases of pleural metastatic carcinoma, chronic non-specific inflammation in 7 cases, 1 case of pleural mesothelioma and pleural metastatic carcinoma with tuberculous pleurisy in 1 case, 1 case of normal pleural tissue .55 patients with unexplained pleural effusion by thoracoscopy, diagnosed 47 cases. All cases without serious complications. Conclusion: Medical thoracoscopy in pleural effusion is a safe, effective, diagnostic rate of the screening method. [Keywords:] Medical thoracoscopy; pleural effusion; diagnosis Pleural effusion is a common disease in internal medicine, the chest imaging, bronchoscopy, pleural effusion conventional, biochemical, microbiological, pathological cytology, pleural biopsy examination, there is still a considerable proportion of patients the cause is uncertain. For such unexplained chest effusion, the application of medical thoracoscopy for diagnosis of the cause of powerful means. hospital from September 2006 to January 2008 a total of 55 cases of pleural effusion of unknown etiology in patients with microscopic thoracic surgery, now its results and application experience are summarized below. 1