内科胸腔镜检查恶性胸腔积液方式探索.docVIP

精品论文 参考文献 内科胸腔镜检查恶性胸腔积液方式探索 湖南省益阳市中心医院呼吸内科 413000 摘要：目的 研究总结内科镜检查恶心胸腔积液的方式和应用价值，为临床诊断和预后判断提供可参考依据。方法 本文采取回顾性分析方法进行研究。抽取我院2010年1月-2014年1月收治进行内科胸腔镜检查的恶性胸腔积液患者39例例，为研究对象。调取所有研究对象完整临床资料。结果 病理组织学、细胞学和免疫组化检查胸腔镜采集病灶活组织，确诊39例均为恶性肿瘤，包括：10例肺腺癌，8例肺鳞癌，4例乳腺癌胸膜转移、5例消化道恶性肿瘤胸膜转移、4例来源不明恶性肿瘤转移定植胸膜、8例胸膜间皮瘤。39例进行内科胸腔镜检查的患者，术后29例（74.36%）出现并发症。患者可耐受，未进行特殊处理。未发生心律失常等严重并发症，未发生患者死亡事件。结论 应用内科胸腔镜检查恶性胸腔积液，活检病灶，提高疾病确诊率，为临床诊断和治疗提供可靠依据。 关键词：内科；胸腔镜；恶性；胸腔积液；临床应用 Objective to study the summary of internal mirror inspection disgusting ways and application value of pleural effusion and to provide reference for clinical diagnosis and prognosis judgement.Methods take retrospective analysis method to study in this paper.Extracted from January 2010 - January 2014 for medical thoracoscopy in 39 patients with malignant pleural effusion，as the research object.All the research object to be obtained complete clinical data.Results pathological histology，cytology and immunohistochemical examination thoracoscope acquisition lesion biopsies，39 cases were diagnosed as malignant tumor，including：10 patients with lung adenocarcinoma，8 cases of lung squamous carcinoma，4 cases of pleural metastasis of breast cancer，5 cases of digestive tract malignant pleural metastasis，4 cases of source from malignant tumor metastasis engraftment pleura，8 cases of pleural mesothelioma.Postoperative patients with 39 cases of medical thoracoscopy，29 cases（74.36%）complications.Patients can be tolerated，not for special treatment.Without serious complications，such as arrhythmia patients death events.Conclusion the application of medical thoracoscopy malignant pleural effusion，biopsy lesions，increase the rate of disease diagnosis，provide reliable basis for clinical diagnosis and treatment. Key words of internal；Thoracoscope；Malignant；Pleural effusion.Clinical application of 恶性肿瘤会发生恶性肿瘤细胞转移，胸膜是恶性肿瘤近端或远端转移位置之一。恶性肿瘤转移定植于胸腔后，胸腔内发生恶性胸腔积液。通过检查胸腔积液，联合病灶组织活检，判断肿瘤良性恶性等[1]。本文研究使用内科胸腔镜检查恶性胸腔积液的临床意义，选取我院39例患者进行研究，现将结果总结如下： 1 资料和