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[The diagnostic value of medical thoracoscopy for unexplained pleural effusion].
Jiang, Shu-juan; Mu, Xiao-yan; Zhang, Song; Su, Li-li; Ma, Wei-xia.
Afiliación
  • Jiang SJ; Department of Pulmonary Medicine, Provincial Hospital affiliated to Shandong University, Jinan 250021, China (Email:shujuan-jiang@163.com).
Zhonghua Jie He He Hu Xi Za Zhi ; 36(5): 337-40, 2013 May.
Article en Zh | MEDLINE | ID: mdl-24047806
OBJECTIVE: To explore the endoscopic features of patients with unexplained pleural effusion, and to evaluate the diagnostic value of medical thoracoscopy. METHODS: A retrospective analysis of 2380 patients with unexplained pleural effusion (1320 males and 1060 females; age 15-94 years) in Shandong Provincial Hospital from 1992 to 2011 were performed .The diagnosis was confirmed by medical thoracoscopy. RESULTS: The endoscopic findings of malignant pleural effusion mostly showed nodules of varying sizes. The nodules could be grape-like, cauliflower-like, fused into masses, or diffused small nodules . The appearance of cancerous nodules was more diversified compared to tuberculous nodules. Tuberculous pleurisy was manifested as diffuse pleural congestion and miliary changes, multiple small gray-white nodules, fibrin deposition and adhesion in the pleural cavity, pleural thickening and loculation . The pathological diagnosis was as follows: pleural metastases in 899 (37.8%), primary pleural mesothelioma in 439 (18.4%), tuberculous pleurisy in 514 (21.6%), non-specific inflammation in 226 (9.5%), empyema in 190 (8.0%), hepatic pleural effusion in 36 (1.5%) and pleural effusion of unknown causes in 76 (3.2%) cases. The diagnostic positive rate of medical thoracoscopy was 96.8%. No serious complications were observed. CONCLUSION: Medical thoracoscopy is a relatively safe procedure and has an important application value in the diagnosis of unexplained pleural effusion.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pleura / Derrame Pleural / Neoplasias Pleurales / Toracoscopía Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged80 Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2013 Tipo del documento: Article País de afiliación: China Pais de publicación: China
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pleura / Derrame Pleural / Neoplasias Pleurales / Toracoscopía Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged80 Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2013 Tipo del documento: Article País de afiliación: China Pais de publicación: China