胸腔镜联合胸膜固定术诊断及治疗恶性胸腔积液的临床体会

Clinical Application of Pleurodesis with Video-assited Thoracoscoscopic Managemet on Treatment of Malignant Plural Effusion

目的:探讨胸腔镜联合滑石粉胸膜固定术诊断、治疗恶性胸腔积液的效果。方法:回顾性分析胸腔镜下活检、胸腔内喷洒滑石粉诊断治疗恶性胸腔积液72例患者的临床资料。结果:所有病例均成功,胸膜固定术有效率94.2%,无严重并发症。结论:胸腔镜在恶性胸腔积液的处理中具有安全、诊断准确、微创的特点;胸膜腔内喷洒滑石粉是胸膜固定的有效方法。

Objectlve：To investigate the therapcurie cffection of plcurodesis with Video-assited thoracoseopic management on treatment of malignant pleural effusion.Methods：72 patients with malignant plcural effusion accepted talc pleurodesis trader VATS and the effects were observed.Results：All operalions were successful with the efective rare of 94.4% and without seriousside-effects.Conclusion：VATS is a sale and minimal invasive procedure in the treatment of malignant pleural effusion.It is also provided that talc pleurudsis under VATS is very＇ effective method for pleurodesis.