半固体与单端口固体胸腔镜在未诊断的排泄性流的评估:一个准实验性比较研究
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Updated: Feb 23, 2026
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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
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Hemant Kumar1, Mohammad Arif2, Ved Prakash2
1Department of Pulmonary Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Annals of African medicine
|February 21, 2026
概括
半硬胸腔镜显著减少了手术过程中的疼痛和镇静剂的需求,相比于硬胸腔镜诊断的多叶流液. 这两种方法都提供了高的诊断产量和安全性,但半硬式提供了更大的患者舒适性.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 诊断程序 诊断程序 诊断程序
背景情况:
- 医学胸腔镜对于诊断未诊断的排泄性多流的诊断至关重要.
- 刚性和半刚性胸腔镜有不同的设计,可能会影响手术疼痛,镇静和诊断结果.
- 这项研究旨在比较刚性与半刚性胸腔镜在有效性,安全性和患者耐受性方面.
研究的目的:
- 为了比较刚性与半刚性胸腔镜的诊断产量,安全性和患者耐受性.
- 评估两种胸腔镜方法之间的手术疼痛和镇静剂/止痛剂需求的差异.
主要方法:
- 一项准实验性研究涉及172名接受刚性胸腔镜检查 (A组) 和164名接受半刚性胸腔镜检查 (B组) 的患者.
- 基线人口统计学,临床特征,肺液特征,手术参数,并发症和诊断结果的比较.
- 诊断产量的分析,止痛/镇静剂的使用,以及程序性疼痛评分.
主要成果:
- 在刚性组 (P < 0.001) 中,在三关节插入,胸腔镜操纵和胸腔活检期间报告了显著更高的疼痛水平.
- 严格的胸腔镜需要更多的米达佐拉姆和芬太尼使用.
- 这两种方法的整体诊断收益率 (97.1%的刚性与93.9%的半刚性,P>0.05) 和安全性概况相似,并发症率相似.
结论:
- 刚性和半刚性胸腔镜都是有效和安全的,用于诊断排泄性流.
- 半固体胸腔镜可显著减少手术过程中的疼痛,并且需要较低的镇静剂/止痛剂剂量,从而改善患者的舒适度.
- 半硬胸腔镜是一种患者友好的替代方案,用于在不影响诊断准确性的情况下诊断腹腔溢出.
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