ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU CỦA KỸ THUẬT NỘI SOI MÀNG PHỔI NỘI KHOA TRONG CHẨN ĐOÁN VÀ ĐIỀU TRỊ TRÀN DỊCH MÀNG PHỔI CHƯA RÕ NGUYÊN NHÂN TẠI BỆNH VIỆN QUÂN Y 175

Thế Nguyễn Minh; Công Nguyễn Hải; Đào Phan Thị Anh; Trường Nguyễn Công; Loan Kiều Thị Phương

doi:10.59354/ydth175.2023.213

Keywords:

Pleural effusion, Pleural endoscopic, Pleural adhesions

Abstract

Objective: Pleural effusion is one of the common pathological syndromes in clinical medical diseases. Pleural effusion is caused by many different causes, the diagnosis of the cause greatly affects the effectiveness of treatment and prognosis for the patient. However, about 20-25% of pleural effusion cases remain undiagnosed. Pleural endoscopy helps to further diagnose with accuracy up to 90% of cases of pleural effusion..

Materials and Methods: Prospective, descriptive study to evaluate the effectiveness and safety of pleural endoscopic methods in the diagnosis and treatment of pleural effusion of unknown cause. 30 patients were treated at the Department of Tuberculosis and Lung Diseases of Military Hospital 175, from 1/2021 to 3/2023.

Results: The average age of the study group was 64.9 ± 11.31 years old, male accounted for 73.3%, female accounted for 26.7%. 100% of patients had exudative effusion, in which, blood serum accounted for 60%, straw yellow fluid accounted for 40%. There were 28/30 patients, accounting for 93.3%, with a confirmed diagnosis based on histopathological results, which were biopsied through pleura. In which, 22 patients were induced pleural adhesions through pleural endoscopic examination. The efficiency of pleural adhesion was 81.8%, partial adhesion was 18.2%, there were no cases of failure. The most common complication was chest pain, accounting for 76.7%, followed by subcutaneous emphysema 13.3%.

Conclusion: This study initially shows the effectiveness and safety of pleural endoscopic method in the diagnosis and treatment of pleural effusion of unknown cause.

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