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首页> 外文期刊>Respiratory medicine >Diagnostic value of closed percutaneous pleural biopsy vs pleuroscopy in suspected malignant pleural effusion or tuberculous pleurisy in a region with a high incidence of tuberculosis: a comparative, age-dependent study.
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Diagnostic value of closed percutaneous pleural biopsy vs pleuroscopy in suspected malignant pleural effusion or tuberculous pleurisy in a region with a high incidence of tuberculosis: a comparative, age-dependent study.

机译：封闭性经皮胸膜穿刺活检与胸膜镜检查在结核高发地区疑似恶性胸腔积液或结核性胸膜炎的诊断价值：一项年龄相关的比较研究。

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摘要

OBJECTIVE: To compare the value of closed percutaneous pleural biopsy versus pleuroscopy for diagnosis of undiagnosed exudative pleural effusion in an age-dependent manner. DESIGN: Prospective clinical study. SETTING: University hospitals. PATIENTS: Forty-nine consecutive patients with undiagnosed exudative pleural effusion following the initial clinical and paraclinical investigations, including bronchoscopy. Cases were divided into younger and older groups according to their ages. INTERVENTION: Closed pleural biopsy immediately followed by pleuroscopy with a flexible fiberoptic bronchoscope from the same incision site. RESULTS: In the older age group, pleuroscopy was superior to closed pleural biopsy for the diagnosis of the underlying pleural disease (P = 0.0007), while they were almost equally diagnostic in the younger cases (P = 0.58). CONCLUSION: For those patients with undiagnosed exudative pleural effusion who are older than 50 years of age, pleuroscopy could be chosen as the first procedure of choice as compared to closed pleural biopsy if malignant pleural effusion is suspected.
机译：目的：比较经皮经皮胸膜穿刺活检与胸膜镜检查对年龄未确诊的渗出性胸腔积液的诊断价值。设计：前瞻性临床研究。地点：大学医院。患者：在包括临床试验在内的初步临床和临床旁研究（包括支气管镜检查）后，连续有49例未确诊的渗出性胸腔积液患者。根据年龄将病例分为年轻组和老年组。干预：立即进行封闭胸膜活检，然后在同一切口部位用柔性纤维支气管镜进行胸膜镜检查。结果：在老年组中，胸膜镜检查对闭合性胸膜疾病的诊断优于封闭胸膜活检（P = 0.0007），而在年轻病例中，胸膜镜检查几乎相同（P = 0.58）。结论：对于那些未确诊的渗出性胸腔积液患者，年龄大于50岁，如果怀疑有恶性胸腔积液，则与闭式胸膜活检相比，可以选择胸腔镜作为首选手术。

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