经胸腔镜心包开窗治疗恶性心包积液31例疗效分析  

Analysis of Curative Effect of Video-assisted Pericardial Window in Treatment of 31 Cases with Malignant Pericardial Effusion

作　　者：周文华[1] 王书霞[1] 

机构地区：[1]三明市第一医院心胸外科,福建三明365001

出　　处：《中外医疗》2017年第9期68-70,共3页China & Foreign Medical Treatment

摘　　要：目的对经胸腔镜心包开窗治疗恶性心包积液的治疗效果予以探讨。方法回顾分析自2007年9月—2016年6月在该院住院接受经胸腔镜心包开窗手术治疗的各种恶性心包积液患者共31例,对其临床资料开展回顾分析。结果全组31例患者无围手术期死亡及严重持久性并发症发生,术后胸腔引流2~8 d,平均4.67 d,全组无拔管困难,术后随访均超过3个月,无心包积液复发。结论经胸腔镜行心包开窗治疗恶性心包积液是一种安全有效的治疗手段,值得在临床应用中推广。Objective To study the effect of video-assisted pericardial window in treatment of malignant pericardial effusion. Methods 31 cases of patients with malignant pericardial effusion for video-assisted pericardial window in our department from September 2007 to June 2016 were retrospectively analyzed and the clinical data were retrospectively analyzed.Results There were no death patients and patients with severe and continuous complications during the perioperative period,and the chest drainage was 2 d to 8 d after operation and the average time was 4.67 d, and there was no difficulty in decannulation in the whole group, and the patients were followed up more than 3 months, and no pericardial effusion recurred.Conclusion The video-assisted pericardial window in treatment of malignant pericardial effusion is a safe and effective treatment means, which is worth promotion in clinical application.

关 键 词：胸腔镜 恶性心包积液 心包开窗 

分 类 号：R54[医药卫生—心血管疾病]