基层医学论坛2023年9月第27卷第26期【摘要】目的对比经皮穿刺胸膜盲检和内科胸腔镜胸膜活检在渗出性胸腔积液患者病因诊断中的应用价值。方法选取福建医科大学附属三明第一医院呼吸内科83例经诊断性胸腔穿刺术后按Light诊断标准明确为渗出性胸腔积液的患者，根据不同的活检方法分成A、B2组，其中A组43例患者行经皮穿刺胸膜盲检，B组40例患者行内科胸腔镜胸膜活检，比较2种活检方法对渗出性胸腔积液的确诊率。结果A组行经皮穿刺胸膜盲检患者中的25例获得确诊（58.1%），B组行内科胸腔镜胸膜活检患者中的36例最终确诊（90.0%）。结论经皮穿刺胸膜盲检是基层医院明确渗出性胸腔积液病因的首选诊断方法，但是内科胸腔镜胸膜活检对渗出性胸腔积液的确诊率更高，具有更高的应用价值，适合在临床工作中推广应用。【关键词】渗出性胸腔积液；经皮穿刺胸膜盲检；内科胸腔镜胸膜活检DiagnosticvalueofpercutaneouspleuralbiopsyandthoracoscopicpleuralbiopsyinexudativepleuraleffusionFanTingtao，MaoChengye，ZhangChunyan，LuoXiaomei，WengHang.TheSanmingFirstHospitalofFujianMedicalUniversity，Sanming，Fujian365000【Abstract】ObjectiveToexploretheclinicalvalueofpercutaneouspleuralbiopsyandthoracoscopicpleuralbiopsyinetiologicaldiagnosisofexudativepleuraleffusion.Methods83patientsinrespiratorydepartmentofSanmingFirstHospitalofFujianMedicdUniverstitywhowerediagnosedasexudativepleuraleffusionaccordingtoLightdiagnosticcriteriaweredividedintotwogroupsaccordingtodifferentbiopsymethods：AgroupandBgroup，amongthem，43patientsinGroupAunderwentpercutaneouspleuralbiopsyand40patientsinGroupBunderwentthoracoscopicpleuralbiopsy.ResultsInGroupA，25patients（58.1%）werediagnosedbypercutaneouspleuralbiopsy，andinGroupB，36patients（90.0%）werediagnosedbythoracoscopicpleuralbiopsy.ConclusionBlindpercutaneouspleuralbiopsyisthefirstchoiceforprimaryhospitalstodeterminethecauseofexudativepleuraleffusion.However，thediagnosticrateofpleuralbiopsyundermedicalthoracoscopeishigher，whichhashigherapplicationvalueandisespeciallysuitableforclinicalapplication.【KeyWords】Pleuraleffusion；Percutaneouspleuralbiopsy；Thoracoscopicpleuralbiopsy中图分类号：R561.3文献标识码：A文章编...
