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目的探讨老年不明原因胸腔积液患者内科胸腔镜检查的应用价值和安全性。方法对53例老年不明原因胸腔积液患者采用德国STORZ内科电子胸腔镜进行检查,术中采用直视下多点活检对可疑病变部位进行检查,明确胸腔积液成因,对患者术中及术后的病情变化进行观察。结果 53例患者中确诊病理者49例,诊断阳性率为92.5%。所有患者均未发生严重并发症。结论经内科胸腔镜检查诊断老年不明原因胸腔积液患者一般阳性率较高,微创的治疗方法相对比较安全、有效,对一些高危患者在不能耐受全身麻醉手术下特别是老年患者都有较高的应用价值。
Objective To investigate the value and safety of medical thoracoscopy in patients with unexplained pleural effusion. Methods 53 cases of elderly patients with unexplained pleural effusion using German STORZ medical electronic thoracoscopic examination, intraoperative multi-point biopsy under direct vision examination of suspicious lesions, a clear cause of pleural effusion, intraoperative and postoperative patients The changes in the condition were observed. Results Among the 53 cases, 49 cases were diagnosed as pathologically confirmed, the positive rate was 92.5%. No serious complications occurred in all patients. Conclusions The diagnosis of elderly patients with unexplained pleural effusion by medical thoracoscopy generally has a high positive rate. The minimally invasive treatment is relatively safe and effective, which is more effective for some high-risk patients than those who are intolerant of general anesthesia, especially elderly patients High application value.