Diagnostic value of thoracoscopy routine pleural biopsy combined with frozen biopsy for pleural effusion
10.3969/j.issn.1007-1989.2017.04.015
- VernacularTitle:内科胸腔镜常规胸膜活检联合冷冻活检对胸腔积液的诊断价值
- Author:
Yujuan MA
;
Xiaopeng HE
;
Yan DANG
- Keywords:
pleural effusion;
medical thoracoscopy;
cryobiopsy
- From:
China Journal of Endoscopy
2017;23(4):81-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnostic value and safety of thoracoscopy routine pleural biopsy combined with frozen biopsy for pleural effusion. Methods A retrospective analysis was made on the pathological diagnosis rate of pleural effusion. Results 120 cases in thoracoscopy, 103 cases were confirmed with routine biopsy specimens (85.8%), 16 cases found in the lesions with conventional clamp not satisfactory tissue specimens, combined with frozen cut obtained satisfactory specimens, the diagnostic accuracy rate of 16 cases of cryobiopsy was 100.0%, and the total diagnostic accuracy rate of medical thoracoscopy combined with pleural biopsy and cryobiopsy was 95.0%. There was significant difference between conventional biopsy and cryobiopsy (P < 0.05). Conclusion Medical thoracoscopy combined with pleural biopsy and cryobiopsy can achieve a higher rate of pathological diagnosis, and the complications are mild, so it is worthy of clinical promoting.