胸腔镜及较大剂量滑石粉诊治恶性胸腔积液30例

Diagnosis and treatment of 30 cases malignant pleural effusion using VATS and larger doses of talc

目的观察胸腔镜及较大剂量滑石粉诊治恶性胸腔积液的疗效。方法回顾分析30例恶性胸腔积液应用胸腔镜行胸膜活检、同时采用较大剂量滑石粉(10～30 g)固定胸膜。结果 30例恶性胸腔积液确诊率100%,治疗有效率93.3%。结论胸腔镜及较大剂量滑石粉诊治恶性胸腔积液是有效的方法。

Objective To investigate the role of video-assisted thoracoscopic pleural biopsy（VATS） in the treatment of malignant pleural effusion,and to observe the efficacy of larger dose of talc on treatment of malignant pieural effusion.Methods 30 patients with malignant pleural effusion were performed with VATS,and large doses of talc（10-30 g） were used to fixe pleural.Results The rate of final correct diagnosis was 100% in 30 cases with malignant pleural effusion,and the response rate was 93.3%.Conclusion It is an effective way to diagnose and treat the malignant pleural effusion with video-assisted thoracoscopic pleural biopsy and the larger doses of talc pleurodesis.