[1]张艳,黄捷晖,赵新国.老年结核性胸膜炎的内科胸腔镜表型分析[J].第三军医大学学报,2011,33(09):961-963.
 Zhang Yan,Huang Jiehui,Zhao Xinguo.Thoracoscopic appearance of senile tuberculous pleurisy[J].J Third Mil Med Univ,2011,33(09):961-963.
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老年结核性胸膜炎的内科胸腔镜表型分析(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
33卷
期数:
2011年第09期
页码:
961-963
栏目:
论著
出版日期:
2011-05-15

文章信息/Info

Title:
Thoracoscopic appearance of senile tuberculous pleurisy
作者:
张艳黄捷晖赵新国
无锡市传染病医院结核病治疗中心
Author(s):
Zhang Yan Huang Jiehui Zhao Xinguo
Division of Tuberculosis Disease,Wuxi Infection Disease Hospital,Wuxi, Jiangsu Province, 214005,China
关键词:
结核性胸膜炎胸腔镜老年
Keywords:
tuberculous pleurisythoracoscopysenile
分类号:
R521.704; R445.9
文献标志码:
A
摘要:
目的    探讨老年结核性胸膜炎内科胸腔镜下表型的特征。    方法    回顾性分析2006年10月至2010年1月,在本院结核科病房通过内科胸腔镜确诊的老年结核性胸膜炎24例(≥60岁)和非老年结核性胸膜炎52例(<60岁)的临床资料和胸腔镜下表现特征。    结果    两组结核性胸膜炎患者均有胸膜粟粒或结节样改变,伴有或不伴有黏连。老年组胸膜呈弥漫粟粒样改变或多发白色结节改变(66.67%)显著低于非老年组(90.38%,P<0.05)。两组发生胸膜黏连的概率无显著性差异(P>0.05)。    结论    老年结核性胸膜炎胸膜上粟粒或结节分布减少,闭式胸膜活检的意义有限,对于老年不明原因胸腔积液患者,建议尽早行胸腔镜检查。
Abstract:
Objective    To study the thoracoscopic appearance of senile tuberculous pleurisy.     Methods    Seventy-six patients, pathologically diagnosed with tuberculous pleurisy by medical thoracoscopy in our hospital from October 2006 to January 2010, were divided into a senile group (≥60 years old; n=24) and a non-senile group (<60 years old; n=52). A retrospective analysis was conducted on their clinical data and thoracoscopic appearance.     Results    Both groups developed miliary or nodular lesions in the pleura, with or without adhesion. The incidence of diffuse miliary lesions or multiple white nodular lesions in the pleura of the senile group was significantly lower than that of the non-senile group (66.67% vs 90.38%, P<0.05). There was no significant difference between the incidences of pleural adhesion in the two groups (P>0.05).     Conclusion    The senile patients with tuberculous pleurisy have reduced distribution of miliary or nodular lesions in the pleura, and the diagnostic significance of closed pleural biopsy is limited. Therefore, thoracoscopic examination is suggested for senile patients with unknown pleural effusion.

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更新日期/Last Update: 2011-05-04