【摘要】 目的　探讨胸膜活检在胸腔积液诊断中的应用价值。方法　采用钝头胸膜活检针 ,在B超定位后 ,经皮穿刺取病变胸膜组织 ,对 6 0例胸腔积液病人进行了 83次胸膜活检。结果　良性病变结核性胸水 41例 ,病理诊断与临床诊断相符 2 2例 ,确诊率 5 3.6 % ;恶性病变胸水 19例 ,病理诊断与临床诊断相符 13例 ,确诊率 6 8.4% ,较胸水找癌细胞阳性率 (2 6 .2 % )高 ,有显著性差异 (P <0 .0 1)。其创伤小 ,常见并发症为局限性气胸 ,发生率为 10 .6 %。结论　胸膜活检对胸腔积液仍不失为一种有效的组织学检查手段更多还原

【Abstract】 Objectives To assess clinical value of pleural biopsy in diagnosis of pleural effusion.Methods Sixty cases of pleural effusion were involved and 83 times pleural biopsy were performed in this study.All pleural tissue were taken through percutaneous puncture under B-mode ultrasound conduction.Results In 41 cases of tuberculous pleural effusion,pathological diagnosis of 22 cases correspond well to clinical diagnosis in a positive rate of 53.6%.In 19 cases of malignant pleural effusion,there were 13 cases corresponded in a positive rate of 68.4%,significant higher than searching neoplastic cells in effusion positive rate 26.2%(P<0.01).The commonest complication was restricted pneumothorax 10.6%.Conclusions Pleural biopsy is one of the effective method of histological examination.更多还原