经内科胸腔镜多部位胸膜钳夹对恶性胸腔积液的诊疗作用  

Diagnosis and therapy of malignant pleural effusion using multi-situs forceps cliping through thoracoscopy

作　　者：达春和[1] 边雨田[1] 李倩[1] 杜世霞[1] 张小惠[1] 

机构地区：[1]甘肃省白银市第一人民医院呼吸内科,白银市730900

出　　处：《微创医学》2009年第3期214-216,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨经内科胸腔镜多部位胸膜钳夹对恶性胸腔积液的治疗作用。方法对12例恶性胸腔积液患者经内科胸腔镜多部位胸膜钳夹,术后置胸腔闭式引流管接闭式引流瓶,引流3d拔管,观察疗效及不良反应发生情况。结果经治疗后完全缓解(CR)7例,部分缓解(PR)2例,无效(PD)3例,无效3例(均有严重低蛋白血症),无持久性疼痛、大出血、心律失常、气胸等并发症发生。结论经内科胸腔镜多部位胸膜钳夹能有效治疗恶性胸腔积液,具有操作简单、安全性高、病人易接受、检查与治疗一次完成的优势,值得推广应用。Objective To explore the therapeutical effect of medical thoracoscope in diagnosing and treating malignant pleural effusion by using forceps cliping on multi-situs pleura. Methods Multi-situs forceps cliping were performed in 12 patients with malignant pleural effusion. After examination,closed drainage remained in 3 days. The curative effect and the adverse reaction were observed during these days. Results Among the 12 patients,7 cases were complete remission and 2 cases were partial remission. Inefficacy was demonstrated in 3 cases suffered hypoproteinemia. Complications of permanence pain,hemorrhea, arhythmia and aeropleura did not occur. Conclusions Thoracoscopy has satisfactory value for treatment of malignant pleural effusion, for it has superiority in simplicity of operation, higher-safety, acceptance for patients, and combination of examination and therapy in one time,etc. The medical thoracoscopy can be widely used in clinic practice.

关 键 词：内科胸腔镜 恶性胸腔积液 多部位胸膜钳夹 

分 类 号：R730.4[医药卫生—肿瘤] R730.5[医药卫生—临床医学]