胸腔镜对恶性胸腔积液诊治优势的探讨

Advantage of Thoracoscopy on Diagnosis and Treatment of Malignant Pleural Effusion

目的探讨胸腔镜对恶性胸腔积液的诊治优势。方法对30例恶性胸腔积液患者在胸腔镜辅助下行胸膜活检、固定术,28例恶性胸腔积液患者采用胸腔穿刺、放置胸腔闭式引流、胸腔内注射粘连剂等方法诊治,对两组临床资料进行对比性分析。结果胸腔镜组确诊率100%,治疗有效率93.3%,对照组确诊率为64%,有效率53.5%。结论胸腔镜对恶性胸腔积液具有良好的诊断价值,且在其辅助下行胸膜固定术,具有效果好、创伤小、术后恢复快等优点。

Objective To explore the superiority of thoracoscopy in diagnosing and treating malignant pleural effusion. Methods Pleural biopsy and immobilization were performed in 30 patients with malignant pleural effusion under thoracoscopy. Thorax puncture, closed Thoracic Drainage, thoracic injected with adhesive were performed in 28 patients with malignant pleural effusion. Results Comparison and analysis of two groups were carried out. Results Diagnosis rate of the group of thoracoscopy was 100%, the efficacy of tl：eatment was 93. 3%. At the same time diagnosis rate of the control group was 64%, the efficacy of treatment was 53.5%. Conclusion Thoracoscopy has satisfactory value for diagnosis of malignant pleural effusion and has little injury and short convalescent period.