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内科胸腔镜对淋巴瘤所致胸腔积液的诊断价值
Diagnostic value of thoracoscopy for pleural effusion caused by lymphoma
- 第三军医大学学报 2019年41卷第9期 页码：903-906, 封三
- 作者机构：
1.563002 贵州 遵义，遵义医科大学第三附属医院呼吸科
2.400037重庆，陆军军医大学(第三军医大学)第二附属医院呼吸内科，全军呼吸内科研究所，全军呼吸病研究重点实验室
- 作者简介：
[刘代顺, E-mail:ldsdoc@126.comLIU Daishun, E-mail:ldsdoc@126.com
- 基金信息：
DOI：10.16016/j.1000-5404.201903143
中图分类号： R443.8;R561.3;R733.4收稿：2019-03-18，
修回：2019-04-19，
纸质出版：2019-05-15
- 稿件说明：
移动端阅览
刘刚, 黄赞胜, 刘代顺. 内科胸腔镜对淋巴瘤所致胸腔积液的诊断价值[J]. 第三军医大学学报, 2019,41(9):903-906, 封三.
Gang LIU, Zansheng HUANG, Daishun LIU. Diagnostic value of thoracoscopy for pleural effusion caused by lymphoma[J]. Journal of Third Military Medical University, 2019, 41(9): 903-906, 封三.
刘刚, 黄赞胜, 刘代顺. 内科胸腔镜对淋巴瘤所致胸腔积液的诊断价值[J]. 第三军医大学学报, 2019,41(9):903-906, 封三. DOI： 10.16016/j.1000-5404.201903143.
Gang LIU, Zansheng HUANG, Daishun LIU. Diagnostic value of thoracoscopy for pleural effusion caused by lymphoma[J]. Journal of Third Military Medical University, 2019, 41(9): 903-906, 封三. DOI： 10.16016/j.1000-5404.201903143.
摘要
目的
2
评价内科胸腔镜对淋巴瘤所致胸腔积液的诊断价值。
方法
2
回顾性分析2013-2018年陆军军医大学第二附属医院呼吸内科胸腔镜确诊的6例淋巴瘤患者的内科胸腔镜镜下特征及临床表现并复习相关文献。
结果
2
6例淋巴瘤患者的胸腔镜下表现及临床特征缺乏特异性，其主要表现为胸膜多发小结节(
n
=5)，或伴有胸膜粘连(
n
=3)、分隔(
n
=1)、胸膜肥厚(
n
=1)或色素沉着(
n
=1)等多种特征；所有患者均伴有肺部病灶及渗出性胸腔积液，其中单侧或双侧胸腔积液各3例，血性胸腔积液4例，非血性胸腔积液2例；6例患者最终诊断均为非霍奇金淋巴瘤。
结论
2
淋巴瘤在临床上表现具有多样性，伴有胸腔积液的淋巴瘤患者，多为非霍奇金淋巴瘤；此类患者的胸腔镜下表现不尽相同，但其内科胸腔镜下胸膜活检阳性率高，是不可替代的诊断方法。
Abstract
Objective
2
To evaluate the diagnostic value of thoracoscopy in pleural effusion caused by lymphoma.
Methods
2
The endoscopic characteristics and clinical manifestations of 6 patients with lymphoma diagnosed by thoracoscopy in the Second Affiliated Hospital of Army Medical University from 2013 to 2018 were retrospectively analyzed
and the related literature was reviewed.
Results
2
The thoracoscopic findings and clinical features of the 6 patients were lack of specificity
which were mainly characterized as pleural multiple nodules (
n
=5)
and/or accompanied by pleural adhesion (
n
=3)
partition (
n
=1)
pleural hypertrophy (
n
=1) or pigmentation (
n
=1). All patients were accompanied with pulmonary lesions and exudative pleural effusion
including
3 cases of unilateral and 3 cases of bilateral pleural effusion
4 cases of hemorrhagic pleural effusion and 2 of non-hemorrhagic pleural effusion. All the 6 patients were diagnosed as non-Hodgkin's lymphoma.
Conclusion
2
Lymphoma has diverse clinical manifestations. Most of the lymphoma patients with pleural effusion are non-Hodgkin's lymphoma. Since the thoracoscopic findings are quite different and positive rate of thoracoscopic pleural biopsy is quite high
this procedure is irreplaceable for diagnosis.
关键词
Keywords
references
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