CAJ | 학술논문

目的观察恶性胸腔积液的微创治疗效果.方法回顾性分析经单操作孔胸腔镜胸膜固定术治疗的24例恶性胸腔积液患者的临床资料.结果所有病例无围术期死亡;手术时间为32～83 min,平均34.5 min;术后拔管时间4～15d,平均5.6 d;术后全部患者1、3、6、12个月复查胸部CT,随访1 ～12个月,未见胸腔积液复发;24例患者中,1例术后5个月死于脑转移,余23例患者生存期均超过6个月.结论单操作孔胸腔镜胸膜固定术是治疗恶性胸腔积液微创、有效的治疗手段.
목적 관찰악성흉강적액적미창치료효과.방법 회고성분석경단조작공흉강경흉막고정술치료적24례악성흉강적액환자적림상자료.결과 소유병례무위술기사망;수술시간위32～83 min,평균34.5 min;술후발관시간4～15d,평균5.6 d;술후전부환자1、3、6、12개월복사흉부CT,수방1 ～12개월,미견흉강적액복발;24례환자중,1례술후5개월사우뇌전이,여23례환자생존기균초과6개월.결론 단조작공흉강경흉막고정술시치료악성흉강적액미창、유효적치료수단.
Objective To discover the effect of pleurodesis with single utility port vido-assested thoracic surgery on patients with malignant pleural effusion.Methods Clinical pleurodesis data of 24 patients with malignant pleural effusion were analyzed retrospectively.Results After treatment,all the patients were no perioperative deaths.The operation time was 32 to 83 min,and average time was 34.5 min.The time of extubation was 4 to 15 d,and average time was 5.6 d.Among 24 patients with pleurodesis underwent regularly postoperative CT scan and follow-up,one case died of a brain metastasis after five months later,the other patients were survive more than six months.Conclusions Pleurodesis with single utility port video-assisted thoracoscopic surgery in the treatment of malignant pleural effusion is a minimally invasive,effective and practical method.