الفهرس 
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Abstract
Summary
The diagnostic approach to pleural disease remains
an underappreciated aspect of modern thoracic medicine,
despite the fact that pleural disease affects approximately
300 subjects per 100 000 population per year worldwide
(Du Rand and Maskell, 2010)
Aim of the work is to compare the diagnostic
efficiency, hospital stay, reliability, complications and
advantages of Transthoracic Ultrasound Guided (TUS)
biopsies with that of medical Thoracoscopic biopsies in
patients with pleural diseases.
The current study was prospective in design. It was
conducted in Imbaba Chest Hospital and included 30
patients presenting with pleural diseases. They included 13
males and 17 females, in the period from July 2017 to
January 2018. The patients’ ages ranged between 25 years
and 79 years with 48.667 years mean age and 14.617 years
standard deviations in patients of medical thoracoscopy and
ages ranged between 27years to 66 years in patients of
chest ultrasound with 51.667 years mean age and 11.280
years standard deviations.
The included patients were classified according to
the procedure by which pleural biopsy taken into Two
groups: group 1, included 15 cases who underwent medical
thoracoscopic pleural biopsy alone, (there were 7 males and
104
8 females with an average age of 48.667), group 2 included
15 cases who underwent transthoracic ultrasound guided
pleural biopsies (there were 6 males and 9 females with an
average age of 51.667).
The sensitivity of diagnostic thoracoscopy in this
study was 86.67%, indicating a high diagnostic yield of
medical thoracoscopy in comparison with chest us which
was 53.33%.
Complications from medical thoracoscopic biopsies
(100%) in comparison with chest us (66.67%).
Hospital stay was better in patients of chest us in
which only one case has hospital stay 7 days otherwise all
another patients has not been hospitalized in comparison
with patients of medical thoracoscopy in which hospital
stay ranges from 5 to 12 days