【摘要】 目的 探討胸膜活檢在結(jié)核性胸膜炎中的診斷價值。 方法 將2009年1-11月收治的52例結(jié)核性胸膜炎患者隨機(jī)分為常規(guī)組（40例）和胸膜活檢組（12例）。常規(guī)組采用常規(guī)方法診斷結(jié)核性胸膜炎，胸膜活檢組采用胸膜活檢進(jìn)行診斷，比較兩組診斷結(jié)果。 結(jié)果 常規(guī)組均未獲得細(xì)菌學(xué)、病理學(xué)依據(jù)，病原病理學(xué)診斷率為0.0%；胸膜活檢組有5例獲得細(xì)菌學(xué)病理學(xué)依據(jù)，病原病理學(xué)診斷率為41.7%；兩組比較，差異有統(tǒng)計學(xué)意義（Plt;0.05）。常規(guī)組平均診斷時間為60 d，胸膜活檢組平均診斷時間為5 d；兩組比較，差異有統(tǒng)計學(xué)意義（Plt;0.05）。胸膜活檢組無并發(fā)癥發(fā)生。 結(jié)論 胸膜活檢在結(jié)核性胸膜炎診斷中具有重要價值。【Abstract】 Objective To explore the value of pleural biopsy in the diagnosis of tuberculous pleurisy. Methods From January to November 2009, Fifty-two patients with tuberculous pleurisy were randomly divided into conventional group (40 patients) and pleural biopsy group (12 patients), in order to compare the results of conventional diagnostic methods and tuberculous biopsy methods in the diagnosis of tuberculous pleurisy. Results Conventional group was unable to obtain the final bacteriological, pathological basis which obstained the diagnostic rate of 0, but in the pleural biopsy group, five patients got diagnosis basing on bacteriological and pathology tests, and the diagnostic rate was 41.7%;there was significant difference when compared the results of the two groups (Plt;0.05). The average diagnosis time were 60 days in the conventional group, and five days in the pleural biopsy group, there was significant difference when compared the results of the two groups (Plt;0.05). Pleural biopsy group had no complications occurred. Conclusion Pleural biopsy methods in the diagnosis of tuberculous pleurisy are of great value.