胸腔镜在恶性胸腔积液治疗中的应用价值  

Application Value of Video-assisted Thoracoscopic Surgery for Malignant Pleural Effusion

作　　者：宋金涛[1] 闫天生[1] 王可毅[1] 王京第[1] 马少华[1] 王通[1] 贺未[1] 白洁[1] 

机构地区：[1]北京大学第三医院胸外科,北京100083

出　　处：《中国微创外科杂志》2016年第3期249-252,共4页Chinese Journal of Minimally Invasive Surgery

基　　金：北京大学第三医院种子基金(项目编号:Y78459-01)

摘　　要：目的探讨电视胸腔镜在胸腔积液病因诊断及治疗中的价值。方法 2009年7月~2015年11月对27例疑似恶性胸腔积液,经胸腔镜探查行肿物活检及胸膜固定术。结果 27例均确诊,其中原发肺癌18例,肺外转移癌9例。均未出现严重并发症。术后第4周胸部X线片示CR 16例（肺癌胸膜转移13例,转移癌3例）,PR 9例（肺癌胸膜转移3例,转移癌6例）,SD 2例（均为肺癌胸膜转移）,有效率92.6%（25/27）。结论电视胸腔镜在胸腔积液病因诊断及治疗中具有较高价值。Objective To investigate the value of video-assisted thoracoscopic surgery（ VATS） for the diagnosis and treatment of pleural effusion. Methods From July 2009 to November 2015,27 patients with suspected malignant pleural effusion were treated with VATS. Under the thoracic exploration,the tumor biopsy and pleurodesis were performed. Results All the cases were confirmed by VATS,including 18 cases of primary lung cancer and 9 cases of metastatic carcinoma of the lung. There were no serious complications. Chest X-ray examinations at fourth postoperative week showed CR in 16 cases（ pleural metastasis of lung cancer in 13 cases and metastatic carcinoma in 3 cases）,PR in 9 cases（ pleural metastasis of lung cancer in 3 cases and metastatic carcinoma in 6 cases）,and SD in 2 cases（ pleural metastasis of lung cancer）,the effective rate of treatment being 92. 6%（ 25 /27）.Conclusion VATS is of great value in the diagnosis and treatment of pleural effusion.

关 键 词：胸腔镜 恶性胸腔积液 

分 类 号：R730.5[医药卫生—肿瘤]