相关实验视频
Updated: Sep 16, 2025

03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
885
医疗胸腔镜在恶性多发性溢出时
Amit K Rath1, Sudarsan Pothal2, Pallavi Bharadwaj3
1Pulmonary Critical Care and Sleep Medicine, Srirama Chandra Bhanja (SCB) Medical College and Hospital, Cuttack, IND.
Cureus
|July 11, 2025
概括
医学胸腔镜 (MT) 提供了高的诊断收益率 (超过90%) 恶性肺流,与癌症类型相关的特定病变外观. 这种程序是安全的和有价值的,用于管理胸腔液.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
背景情况:
- 恶性流 (MPE) 是晚期癌症的常见并发症,严重影响患者的发病率和生活质量.
- 传统的肺液细胞学往往产生负面结果,需要更具侵入性的诊断方法来获取组织.
- 医学胸腔镜 (MT) 已成为在MPE病例中获取足够的组织样本用于组织病理学检查 (HPE) 的首选技术.
研究的目的:
- 为了评估诊断产量和并发症率与医疗胸腔镜 (MT) 相关的未被诊断的肺流患者.
- 调查在MT期间观察到的各种形态性肺病变与MPE中相应的本病理学诊断之间的关联.
主要方法:
- 一项前性,单中心的横截面研究,涉及87名未被诊断的肺溢患者,接受硬体医学胸腔镜检查 (MT).
- 在MT期间对膜病变的形态表征,随后采取组织样本进行体系病理学检查 (HPE).
- 评估与程序相关的并发症,包括疼痛和脱和形态发现与HPE结果的相关性.
主要成果:
- 医学胸腔镜 (MT) 显示,肺流的高诊断收益率为90.8%,识别恶性 (72名患者) 和结核 (7名患者) 原因.
- 最常见的恶性多流体 (MPE) 形态发现是多基结块 (63.9%) 和粘附 (37.5%).
- 特定的形态模式显示出与组织病理学诊断的显著关联:腺癌的结节,中皮瘤的粘附/斑块,淋巴瘤/未分化癌的质量,小细胞癌的链条.
结论:
- 医学胸腔镜 (MT) 是一种高度准确和安全的程序,用于诊断和管理恶性多叶流液 (MPE).
- 该程序的良好的安全概况支持其在适当的临床环境中作为一线诊断工具的使用.
- 在MT期间观察到的形态模式可以为潜在的肺瘤提供有价值的线索,有助于诊断和治疗规划.
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