电视胸腔镜在原因不明胸腔积液诊治中的应用  

Application of VATS in Diagnosis and Treatment of Pleural Effusion of Unknown Causes

作　　者：江吕泉 孙江 

机构地区：[1]江苏省武警医院胸外科,江苏扬州225003

出　　处：《现代诊断与治疗》2000年第4期221-222,共2页Modern Diagnosis and Treatment

摘　　要：目的　探讨电视胸腔镜术 (VATS)对不明原因胸腔积液的诊治价值。方法　 1995年 10月至 1999年 9月对 2 8例不明原因胸腔积液采用VATS胸膜腔活检及用滑石粉行胸膜粘连 ,观察其效果。结果　全部病例确诊 ,恶性胸液 16例 ,良性 12例。 2 8例行滑石粉胸膜粘连术 ,除 1例因肺实变不能复张外 ,其余均获成功。结论　VATS对不明原因的胸腔积液大大提高了病因的诊断率 。Objective To investigate the value of VATS in pleural effusion of unknown causes.Method From October 1995 to September 1999,28 patients with pleural effusion of unkuown causes accepted biopsy for pleurae and talc pleurodesis under VATS and the effects were observed.Results The overall positive histological diagnosis were obtained through VATS(28/28).It was histopathologically confirmed that among the 28 cases of pleural effusion of unknown causes,16 cases were malignant and 12 cases were benign.Talc pleurodesis was performed for all the cases,and all of the patients gained lasting pleurodesis except for one patient.The failure of pleurodesis was due to the fact that the lung could not reexpand to come into contact with the chest wall.Conclusions VATS has provided a highly positive diagnosis of patients with pleural effusions of unknown causes who could not be diagnosed by conventional method.It is also provided that talc pleurodsis under VATS is a very effective method for controlling refractory pleural effusion transendoscopically.

关 键 词：胸腔积液 电视胸腔镜 胸膜固定术 VATS 

分 类 号：R561.3[医药卫生—呼吸系统]