《陕西省恶性浆膜腔积液诊治专家共识(2021版)》要点解读

Interpretation of the"Expert consensus on diagnosis and treatment of malignant serous effusion in Shaanxi Province(version 2021)"

《陕西省恶性浆膜腔积液诊治专家共识(2021版)》是目前国内系统论述恶性浆膜腔积液诊疗的共识,共分为3个部分。第1部分介绍了国内外恶性浆膜腔积液治疗现状,比较了国内外治疗恶性浆膜腔积液的不同理念;第2部分着重论述恶性浆膜腔积液的诊断,特别强调了积液脱落细胞学或浆膜组织活检对于诊断的重要性;第3部分介绍恶性浆膜腔积液的治疗,对于大量积液患者推荐局部灌注治疗结合全身性系统治疗,同时对不同的灌注方式、灌注药物进行了介绍。对于灌注治疗相关不良反应、特殊类型浆膜腔积液,共识也提供了相应的处理方案,还涉及了体外热循环灌注化疗技术的应用。总体而言,共识全面总结了国内外有关恶性浆膜腔积液诊断和治疗方面的研究进展,兼顾了中国基层医院的医疗实践,具有较高的参考价值和可操作性,文章对其要点进行解读。

"Expert consensus on diagnosis and treatment of malignant serous effusion in Shaanxi Province(version 2021)",as the comprehensive consensus on the diagnosis and treatment of malignant serous effusion,includes three parts.In the first part,the treatment status at home and abroad is introduced,and the domestic and overseas treatment concepts are compared;The second part discusses the diagnosis of malignant serous effusion,emphasizes the importance of exfoliative cytology and serosal biopsy methods;Furthermore,the third part llustrates the treatment of malignant serous effusion,including local combined with systematic therapy on large amount of effusion,different infusion measures and different infusion drugs.Moreover,adverse effects of infusion therapy,special types of malignant serous effusion and external thermo-circulation perfusion chemotherapy are also explained.In conclusion,consensus,which not only comprehensively summarizes the advances in the diagnosis and treatment of malignant serous effusion,but also considers the clinical practice of primary hospital in china,has relatively high reference value and strong operablity,the article interprets its key points.