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胸腔积液是恶性肿瘤常见的并发症。胸水细胞学检查和闭式胸膜活检是诊断恶性胸腔积液最常用的两种方法,但它们的诊断结果并不总令人满意。经胸腔镜直视下活检和胸廓切开术对原因未明的胸腔积液虽有很高的诊断率,但费用高,创伤性较大,并非适宜所有的胸腔积液患者。为此,作者介绍一种新的诊断恶性胸腔积液的方法——闭式经皮胸膜刷检,并与胸水细胞学检查和闭式胸膜活检相比较。 对象与方法 选择43例临床怀疑为恶性胸腔积液的患者为研究对象。术前肌注阿托品0.6mg。操作在X线透视检查室内进行。患者取坐位,两臂交叉置于面前的桌面上,
Pleural effusion is a common complication of malignant tumors. Pleural fluid cytology and closed pleural biopsy are the two most commonly used methods for diagnosing malignant pleural effusions, but their diagnosis is not always satisfactory. Thoracoscopic biopsy and thoracotomy under direct visualization of the pleural effusion of unknown causes, although high diagnostic rate, but the high cost, traumatic, is not suitable for all patients with pleural effusion. To this end, the authors introduced a new method of diagnosing malignant pleural effusions - closed percutaneous pleural examination, and compared with pleural effusion cytology and closed pleural biopsy. OBJECTIVES AND METHODS Forty-three patients with clinical suspicions of malignant pleural effusions were selected for study. Preoperative atropine 0.6 mg. The operation was performed in a fluoroscopy room. The patient took a seat and crossed his arms on the front table.