相关实验视频
Updated: Jun 7, 2025
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
609
细胞学检查,细胞块和在排泄性多溢液中闭合性多活检之间的比较诊断产量
Worawat Chumpangern1, Apichart So-Ngern2, Praewpanit Toomsongkram1
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Journal of thoracic disease
|November 18, 2024
概括
结合肺部活检,细胞块和细胞学,可显著改善排泄性肺部溢出诊断. 与单独使用细胞学和细胞块相比,这种方法提供了更高的诊断产量.
科学领域:
- 肺部病理学 肺部病理学
- 病理学 病理学 病理学
- 诊断医学 诊断医学 诊断医学
背景情况:
- 排泄性多流的诊断依赖于初步的研究,如细胞学,细胞块和闭合的多活检.
- 关于这些方法的联合诊断产量的数据有限.
研究的目的:
- 为了比较结合细胞学,细胞块和封闭性肺部活检的诊断产量,与单独使用细胞学和细胞块进行排泄性肺部溢出.
主要方法:
- 从2014年1月到2020年3月进行了一项回顾性横截面研究.
- 包括175名患有未诊断的排泄性肺输液的患者,他们接受了细胞学,细胞块和闭合性肺活检.
主要成果:
- 细胞学,细胞块和封闭性肺部活检的结合,与单独细胞学相比,实现了81.1%的诊断产量增加 (P<0.001).
- 在恶性外泄中,与单独细胞学相比,三种方法的组合产生了85.5% (P<0.001).
- 10%的患者出现并发症,其中6.9%的患者出现了肺胸炎.
结论:
- 封闭性肺活检,细胞块和传统细胞学的组合为排泄性肺输液提供了有利的诊断产量.
- 这种多式联络方法提高了在具有挑战性的溢出病例中诊断的准确性.
相关概念视频
01:25Pleural Effusion I: Introduction
602
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
602
01:26Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture
166
Sputum studies are a critical part of diagnosing and treating numerous respiratory conditions. These studies involve obtaining sputum samples for analysis to identify pathogenic organisms and assess the presence of abnormal cells indicative of malignant conditions. This lesson will delve into three fundamental sputum studies: Gram Stain, Cytology, and Acid-fast Smear and Culture.
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
166
01:28Pleural Effusion II: Symptoms and Management
154
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
154