36例恶性胸水的胸腔镜手术结果分析  

ANALYSIS ON THORACOSCOPIC TREATMENT IN 36 PATIENTS WITH MALIGNANT PLEURAL EFFUSION

作　　者：王红岩[1] 刘桐林[1] 陈鸿义[1] 

机构地区：[1]北京医科大学第一医院胸外科,100034

出　　处：《中国内镜杂志》2001年第2期43-43,46,共2页China Journal of Endoscopy

摘　　要：1992年 10月～ 1998年 12月 ,共行胸腔镜手术 (VideoAssistanceThoracicSurgery ,VATS) 35 0余例 ,其中经胸腔镜行 36例恶性胸水的诊断与治疗 ,33例获得明确的病理诊断 ,手术死亡 1例。治疗性胸膜固定术及心包开窗术后 ,33例病人一般情况明显改善 ,胸水复发 3例。胸腔镜手术在诊断恶性胸水方面有明确的优点。Objective:To review the experience of VATS (Video-assisted Thoracoscope Surgery) in diagnosis and treatment of the malignant pleural effusion.Methods:From Oct 1992 to Dec 1998,36 patients who had malignant pleural effusion were diagnosed and treated by VATS.Results:33 patients were diagnosed by pathology (91.7%),with 3 patients suffering from recurrent pleural effusion;There was on death.After operations of pleuar adhesion and pericardiostomy by VATS,the general condition of the patients was greatly improved in 33 cases.Conclusions:VATS is a very useful method for diagnosis and treatment of malignant pleural effusion.

关 键 词：胸腔镜 恶性胸水 诊断 治疗 

分 类 号：R561.3[医药卫生—呼吸系统]