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目的探讨可弯曲内科胸腔镜滑石粉胸膜固定术治疗恶性胸腔积液的临床疗效。方法回顾性分析9例恶性胸腔积液患者行胸膜固定术的临床资料。结果7例粘连良好,有效率77.8%(7/9)。滑石粉用量2～3g。胸痛4例,发热3例,对症治疗1、2d缓解,无严重并发症。结论可弯曲内科胸腔镜干粉状滑石粉胸膜固定术是一种安全、有效地治疗恶性胸腔积液的方法。
Objective To investigate the clinical efficacy of flexible thoracoscopic endoscopic pleurodesis in the treatment of malignant pleural effusion. Methods The clinical data of 9 patients with pleural effusion underwent pleurodesis were analyzed retrospectively. Results 7 cases with good adhesions, the effective rate of 77.8% (7/9). Talc dosage 2 ~ 3g. 4 cases of chest pain, fever in 3 cases, symptomatic treatment of 1,2d ease, no serious complications. Conclusion Flexible medical thoracoscopic dry powder talc pleurodesis is a safe and effective method for the treatment of malignant pleural effusion.