摘要
目的探讨电视胸腔镜(VATS)治疗不明原因胸腔积液的临床效果。方法回顾性分析我院收治的184例不明原因胸腔积液患者的临床资料,所有患者均给予VATS检查,其中117例患者同时接受胸膜剥离手术。观察患者的临床效果以及并发症发生情况。结果184例不明原因胸腔积液患者中170例获得了明确诊断,诊断率为92.4%,其中恶性胸腔积液109例(64.1%),结核性胸膜炎40例(23.5%),肺炎旁组织积液10例(5.9%),非特异性炎症11例(6.5%)。接受胸膜剥离手术的患者术后胸痛及发热比例高于单纯接受VATS检查的患者,差异具有统计学意义(P<0.05);但两者咳嗽、胸闷、2个月内死亡率及其它并发症相比则无显著差异(P>0.05)。结论电视胸腔镜在不明原因胸腔积液的诊断中具有诊断阳性率高的特点,胸膜剥离手术是治疗不明原因胸腔积液的有效手段,与仅进行胸腔镜检查比较,不会明显增加术后咳嗽、胸闷及死亡等并发症发生率。
Objective To explore the clinical effect of video-assisted thoracoscopy (VATS) in the treatment of unexplained pleural effusion. Methods Clinical data of 184 patients with unexplained pleural effusion were retrospectively analyzed, all patients were checked by VATS, and 117 patients among them received pleura decollement. The clinical effect and complications were observed. Results Of 184 patients, 170 cases got a definite diagnosis, the diagnosis rate was 92.4%, with malignant pleural effusion in 109 cases (64.1%), tuberculous pleurisy in 40 cases (23.5%), parapneumonic effusion in 10 cases (5.9%) and non-specific inflammatory in 11 cases (6.5%). The incidence of chest pain and fever in patients received pleura decollement were higher than those in patients only received VATS, with statistical difference (P〈0.05);but the incidence of cough and chest distress, mortality within two-month and other complications of two groups had no statistical difference (P 〉0.05). Conclusions VATS has high diagnosis rate in unexplained pleural effusion. Pleura decollement is an effective mean for treating unexplained pleural effusion, which does not significantly increase the incidence of complications like postoperative cough, chest distress and death compared with VATS alone.
出处
《临床医学工程》
2015年第4期401-402,共2页
Clinical Medicine & Engineering
关键词
电视胸腔镜
不明原因
胸腔积液
胸膜剥离
Video-assisted thomcoscopy
Unexplained
Pleural effusion
Pleura decollement