Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion
Abstract Background Pleural disease is a common clinical condition, and some patients present with a small amount of pleural effusion or no pleural effusion. It is difficult to diagnose such patients in clinical practice. Medical thoracoscopy is the gold standard for the diagnosis of pleural effusio...
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| 格式: | 文件 |
| 语言: | English |
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BMC
2024-01-01
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| 丛编: | BMC Pulmonary Medicine |
| 主题: | |
| 在线阅读: | https://doi.org/10.1186/s12890-024-02855-8 |
| _version_ | 1827377502597677056 |
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| author | Linhui Yang Kaige Wang Wang Hou Dan Liu Weimin Li |
| author_facet | Linhui Yang Kaige Wang Wang Hou Dan Liu Weimin Li |
| author_sort | Linhui Yang |
| collection | DOAJ |
| description | Abstract Background Pleural disease is a common clinical condition, and some patients present with a small amount of pleural effusion or no pleural effusion. It is difficult to diagnose such patients in clinical practice. Medical thoracoscopy is the gold standard for the diagnosis of pleural effusion with unknown origin, and guidelines recommend that pneumothorax should be induced in such patients before medical thoracoscopy examination. However, the process of inducing pneumothorax is tedious and has many complications. Our study was conducted to clarify the value of thoracic ultrasound combined with medical thoracoscopy in patients with small amounts or without pleural effusion to simplify the process of medical thoracoscopy examination. Methods In this retrospective study, we included patients who were assigned to complete medical thoracoscopy. Successful completion of medical thoracoscopy in patients was regarded as letting the endoscope get into the pleural cavity and completion of the biopsy. Finally, we analyzed the value of preoperative ultrasound in patients without or with small amounts of pleural effusion. Results Seventy-two patients were finally included in the study. Among them, 68 patients who underwent ultrasound positioning of the access site successfully completed the examination and four patients failed the examination. Fifty-one cases showed no fluid sonolucent area at the access site, of which 48 cases had pleural sliding signs at the access site, and 47 patients successfully completed the examination; 3 cases without pleural sliding signs at the access site failed to complete thoracoscopy. In 21 cases, the fluid sonolucent area was selected as the access site, and all of them successfully completed thoracoscopy. Conclusion Medical thoracoscopy is one of the methods to confirm the diagnosis in patients with pleural disease with small amounts or without pleural effusion. The application of thoracic ultrasound before medical thoracoscopy can be used for the selection of the access site. It is possible to replace pneumothorax induction before medical thoracoscopy. |
| first_indexed | 2024-03-08T12:41:06Z |
| format | Article |
| id | doaj.art-248b5d69a9824984b51d8efdb5dfbe7d |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-03-08T12:41:06Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-248b5d69a9824984b51d8efdb5dfbe7d2024-01-21T12:08:40ZengBMCBMC Pulmonary Medicine1471-24662024-01-012411810.1186/s12890-024-02855-8Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusionLinhui Yang0Kaige Wang1Wang Hou2Dan Liu3Weimin Li4Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan UniversityDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan UniversityAbstract Background Pleural disease is a common clinical condition, and some patients present with a small amount of pleural effusion or no pleural effusion. It is difficult to diagnose such patients in clinical practice. Medical thoracoscopy is the gold standard for the diagnosis of pleural effusion with unknown origin, and guidelines recommend that pneumothorax should be induced in such patients before medical thoracoscopy examination. However, the process of inducing pneumothorax is tedious and has many complications. Our study was conducted to clarify the value of thoracic ultrasound combined with medical thoracoscopy in patients with small amounts or without pleural effusion to simplify the process of medical thoracoscopy examination. Methods In this retrospective study, we included patients who were assigned to complete medical thoracoscopy. Successful completion of medical thoracoscopy in patients was regarded as letting the endoscope get into the pleural cavity and completion of the biopsy. Finally, we analyzed the value of preoperative ultrasound in patients without or with small amounts of pleural effusion. Results Seventy-two patients were finally included in the study. Among them, 68 patients who underwent ultrasound positioning of the access site successfully completed the examination and four patients failed the examination. Fifty-one cases showed no fluid sonolucent area at the access site, of which 48 cases had pleural sliding signs at the access site, and 47 patients successfully completed the examination; 3 cases without pleural sliding signs at the access site failed to complete thoracoscopy. In 21 cases, the fluid sonolucent area was selected as the access site, and all of them successfully completed thoracoscopy. Conclusion Medical thoracoscopy is one of the methods to confirm the diagnosis in patients with pleural disease with small amounts or without pleural effusion. The application of thoracic ultrasound before medical thoracoscopy can be used for the selection of the access site. It is possible to replace pneumothorax induction before medical thoracoscopy.https://doi.org/10.1186/s12890-024-02855-8UltrasoundMedical thoracoscopyPleural disease |
| spellingShingle | Linhui Yang Kaige Wang Wang Hou Dan Liu Weimin Li Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion BMC Pulmonary Medicine Ultrasound Medical thoracoscopy Pleural disease |
| title | Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion |
| title_full | Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion |
| title_fullStr | Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion |
| title_full_unstemmed | Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion |
| title_short | Application of ultrasound-guided medical thoracoscopy in patients with small amounts or without pleural effusion |
| title_sort | application of ultrasound guided medical thoracoscopy in patients with small amounts or without pleural effusion |
| topic | Ultrasound Medical thoracoscopy Pleural disease |
| url | https://doi.org/10.1186/s12890-024-02855-8 |
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