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目的探讨电视纵隔镜在诊治恶性胸腔积液中的应用价值。方法回顾分析自2003年10月至2004年4月12例恶性胸腔积液患者行电视纵隔镜胸膜活检+滑石粉胸膜固定术治疗的临床资料。结果术后病理诊断腺癌8例,鳞癌4例;肺癌胸膜转移11例,食管癌肺、胸膜转移1例;手术诊断率100%,有效率91.7%(11/12),全组无手术死亡。术后发生低热3例,经处理后退热;胸痛3例,经止痛后缓解。结论电视纵隔镜对恶性胸腔积液的诊断和治疗有良好的临床效果。
Objective To investigate the value of mediastinoscopy in the diagnosis and treatment of malignant pleural effusion. Methods The clinical data of 12 cases of malignant pleural effusion underwent mediastinoscopy pleurodesis and talc pleurodesis were retrospectively analyzed from October 2003 to April 2004. Results Postoperative pathological diagnosis of adenocarcinoma in 8 cases, squamous cell carcinoma in 4 cases; lung cancer pleural metastasis in 11 cases, esophageal cancer lung and pleural metastasis in 1 case; surgical diagnosis rate was 100%, the effective rate was 91.7% (11/12) death. Postoperative fever occurred in 3 cases, after treatment, antipyretic; chest pain in 3 cases, relieved by pain relief. Conclusion Video mediastinoscopy has a good clinical effect in the diagnosis and treatment of malignant pleural effusion.