Application of medical thoracoscopy in clinical diagnosis of tuberculous pleuritis
10.12025/j.issn.1008-6358.2016.20160586
- VernacularTitle:内科胸腔镜在结核性胸膜炎临床诊断中的应用
- Author:
Ya-Qin ZHUANG
1
;
Xi-Wen GAO
;
Zhi-Jun YAN
;
Yan LI
;
Min XUE
Author Information
1. 上海市闵行区中心医院呼吸内科
- Keywords:
tuberculous pleural effusion;
semi-rigid medical thoracoscopy;
diagnosis
- From:
Chinese Journal of Clinical Medicine
2016;23(4):499-501
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical diagnostic value of medical thoracoscopy in tuberculous pleuritis . Methods:The clinical data of patients with pleural effusion who received medical thoracoscopy from February 2012 to March 2016 was analyzed retrospectively . Results: Totally 136 patients with pleural effusions of unknown etiologies underwent medical thoracoscopy ,there were 46 cases confirmed to have tuberculous pleurisy .The appearances of tuberculous pleurisy under thoracoscopy were mainly different size of nodules on pleura (28 .3% ) ,pleural thickening or fibrous adhesion (56 .5% ) , hyperemia and edema of pleural or military nodules on the surface of pleura (10 .9% ) .ADA values of 46 tuberculous pleurisy patients were as follows :<40 U/L(19 .6% ) ,40‐45 U/L(4 .3% ) ,45‐60 U/L(39 .1% ) ,≥60 U/L(37 .0% ) .There were 45 cases had ADA more than 45 U/L , the pathological diagnosis was as follows :35 cases of tuberculosis , 1 case of adenocarcinoma ,3 cases of acute inflammation and 6 cases of chronic inflammatory .No serious complications were observed . Conclusions:Medical thoracoscopy is easy to operative and a relatively safe procedure ,and it can improve the accuracy in the diagnosis of tuberculous pleuritis and also reduce clinical misdiagnosis and missed diagnosis .
