高温低渗持续灌注术治疗恶性胸水40例临床观察

Continuing thoracic perfusion with heated hypotonic fluid for treatment of 40 patients with malignant hydrothorax

目的观察高温低渗持续灌注术对恶性胸水的治疗效果。方法40例恶性胸水患者用高温低渗持续灌注术进行治疗,男26例,女14例。年龄28～87岁,中位年龄59岁。均有细胞学诊断,其中肺癌24例,食管癌10例,乳腺癌4例,胃癌2例。结果40例可评价疗效的患者全部达到CR。结论高温低渗持续灌注术是治疗恶性胸水的较为理想的方法,值得临床推广使用。

Objective To investigate the efficacy of continuing thoracic perfusion with heated hypotonic fluid in treatment of patients with malignant hydrothorax.Methods Forty patients with malignant hydrothorax were treated with continuing thoracic perfusion with heated hypotonic fluid. Of them,26 and 14 were males and females respectively; the median age was 59(range 28-87). All the cases were proved by cytology, with lung carcinoma in 24 cases,esophageal carcinoma in 10 cases,breast carcinoma in 4 cases and gastric carcinoma in 2 cases.Results All 40 evaluated cases achieved CR (complete response).Conclusion It is an ideal method to use continuing thoracic perfusion with heated hypotonic fluid for treatment of patients with malignant hydrothorax and is worthy to be recommended.