电视胸腔镜手术在老年恶性胸腔积液患者治疗中的作用

The effect of video-assisted thoracic surgery treated in elderly patients with malignant pleural effusion

目的:观察电视胸腔镜手术在老年恶性胸腔积液患者治疗中的作用。方法:对符合病例入选标准的60例恶性胸腔积液患者在全麻下通过胸腔镜吸除积液,然后喷洒无菌滑石粉形成胸膜固定。结果:本组60例经治疗气短、咳嗽、胸痛、胸闷、发热、咯血等临床症状均明显缓解,饮食及活动量显著增加。患者手术时间最短20 min,最长70 min,平均(36.5±3.4)min。术后引流量最少360 ml,最多720 ml,平均(608.5±23.4)ml;拔管时间最短2 d,最长8 d,平均(3.5±0.4)d。术后随访3～12个月,平均(5.5±0.5)个月,均未见复发。结论:电视胸腔镜治疗恶性胸腔积液是一种微创、有效、实用的治疗方法。

Objective： To observe the video-assisted thoracoscopic surgery treated in elderly patients with malignant pleural effusion in the role.Methods： The cases that meet the inclusion criteria of the 60 cases of patients with malignant pleural effusion by thoracoscopy under general anesthesia suction fluid and then sprayed the formation of sterile talc pleurodesis.Results： 60 patients were treated and shortness of breath,cough,chest pain,chest tightness,fever,hemoptysis and other symptoms were significantly alleviated,diet and activity levels increased significantly.Patients with the shortest operation time was 20 minutes,the longest was 70 minutes,the average was（36.5±3.4） minutes.Postoperative drainage for at least 360 ml,up to 720 ml,the average was（608.5±23.4） ml;the shortest time of extubation was 2 days,up to 8 days,the average was（3.5±0.4） days.All patients were followed up for 3 to 12 months,the average was（5.5±0.5） months,showed no recurrence.Conclusion： Video-assisted thoracoscopic treatment of malignant pleural effusion is a minimally invasive,effective and practical method of treatment.