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目的 探讨胸膜间皮瘤的临床诊断。方法 对病史、临床表现、X线、CT、胸膜活检及胸液细胞学等检查进行回顾性调查分析。结果 本组病人主要症状为胸痛、气短。X线检查局限型 1例 ,弥漫型 3 1例 ,弥漫型均有中到大量胸水 ,并胸膜增厚和胸膜结节者分别占 5 6 3 %和 5 3 1% ,经胸膜活检和胸液细胞学检查大多数获取病理学依据。结论 对临床上进行性胸痛气短患者 ,胸片及CT显示有胸水并胸膜增厚和胸膜结节者应警惕胸膜间皮瘤 ,胸膜活检和胸液细胞学检查是主要确诊方法。
Objective To investigate the clinical diagnosis of pleural mesothelioma. Methods The medical history, clinical manifestations, X-ray, CT, pleural biopsy and pleural fluid cytology were retrospectively analyzed. Results The main symptoms of this group of patients with chest pain, shortness of breath. X-ray examination in 1 case limited type, diffuse type in 31 cases, diffuse type have a large number of pleural effusion, and pleural thickening and pleural nodules accounted for 56.3% and 53.1% respectively, by pleural biopsy and pleural fluid Cytology most of the pathological basis. Conclusion Patients with clinical chest pain and shortness of breath, chest X-ray and CT showed pleural thickening and pleural nodules should be alert to pleural mesothelioma, pleural biopsy and pleural fluid cytology is the main method of diagnosis.