Đánh giá hiệu quả của kỹ thuật nội soi màng phổi nội khoa trong chẩn đoán và điều trị tràn dịch màng phổi dịch tiết chưa rõ căn nguyên tại Bệnh viện Quân y 175

Abstract

Objective: The objective of this study is to evaluate the effectiveness of the medical pleuroscopy technique utilizing a semi-rigid tube for diagnosing the etiology of exudative pleural effusion and to assess the initial outcomes of pleurodesis with Povidone in patients diagnosed with malignant pleural effusion at 175 Military Hospital. Subject and method: This study will be conducted as a prospective, cross-sectional study involving 30 patients diagnosed with exudative pleural effusion of unknown etiology who are receiving inpatient treatment at the Department of Tuberculosis and Lung Disease - 175 Military Hospital. Data collection will span from January 2021 to March 2023. Result: The average age of the study patients was 64.9 ± 11.31 years old, with 73.3% male and 26.7% female. The diagnostic efficacy, based on histopathological results of specimens biopsied through pleuroscopy, reached 93.3%. Among the 22 patients who underwent pleuroscopy, a favorable pleural adhesion effect was observed in 81.8%, with an average adhesion score of 18.2%. The most common complication was local chest pain, accounting for 76.7%, followed by subcutaneous emphysema, which occurred in 13.3% of cases. Conclusion: Medical pleuroscopy with a semi-rigid tube demonstrates high effectiveness and safety in both diagnosing and treating pleural effusion of unknown etiology.