Pleuroscopy for Diagnosis and Therapy for Pleural Effusions
Pleuroscopy for Diagnosis and Therapy for Pleural Effusions
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DOI：
10.1378/chest.10-1259
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发表时间：
2010-11-01
期刊：
影响因子：
9.6
通讯作者：
Ernst, Armin
中科院分区：
文献类型：
--
作者：
Michaud, Gaetane;Berkowitz, David M.;Ernst, Armin
胸腔镜术，也称为内科胸腔镜，是一种微创手术，用于检查和进行胸膜腔活组织检查以及进行治疗干预。它与传统的电视胸腔手术不同，因为它可以在内窥镜检查套间中适度镇静的情况下进行，而不需要插管或单肺通气。本方法对恶性和结核性胸腔积液的诊断准确率接近100%。并发症发生率很低(2%-5%)，而且通常很轻微(皮下气肿、出血、感染)，死亡率很高。
Pleuroscopy, also known as medical thoracoscopy, is a minimally invasive procedure to inspect and perform a biopsy of the pleural space as well as to perform therapeutic interventions. It differs from conventional video-assisted thoracic surgery in that it may be performed under moderate sedation in the endoscopy suite without the need for intubation or single-lung ventilation. The diagnostic accuracy of this procedure approaches 100% in malignant and tuberculous pleural effusions. Complication rates are low (2%-5%) and are typically minor (subcutaneous emphysema, bleeding, infection), with mortality rates