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目的:探讨胸腔内置管引流术加局部化疗治疗恶性胸腔积液。方法:收集了本院自2006年8月至2013年12月肺癌并胸腔积液30例患者为治疗组,同时选择2002年10月至2013年10月恶性胸腔积液患者为对照组,两组患者进行回顾,历史性对照分析研究,给以对照组常规胸穿反复抽取胸腔积液后注入抗癌药,疗程长,且胸腔积液难以抽尽,易引起积液短期内复发或者造成胸腔包裹性积液,治疗组采用中心静脉导管置入胸腔引流癌性胸腔积液,并经导管注入化疗药物,简单方便,创伤小,副作用小,能较快改善压迫症状,疗效较好。结论:胸腔内置管引流术加局部化疗治疗恶性胸腔积液,简单方便,创伤小,副作用小,能较快改善压迫症状,疗效较好,能提高或改善病人的生活质量及延长病人寿命。
Objective: To investigate the treatment of malignant pleural effusion by intrathoracic drainage and local chemotherapy. Methods: Thirty patients with lung cancer and pleural effusion collected from August 2006 to December 2013 in our hospital were selected as the treatment group. The patients with malignant pleural effusion from October 2002 to October 2013 were selected as the control group. Two groups Patients were reviewed retrospectively, the historical comparative analysis of research, given the control group conventional chest wear repeated injection of pleural effusion after injection of anticancer drugs, long course of treatment, and pleural effusion is difficult to smoke, easy to cause recurrence of effusion or cause chest wrapping In the treatment group, the central venous catheter was placed in the thoracic cavity to drain the cancerous pleural effusion, and the chemotherapy drug was injected through the catheter. The treatment group was simple and convenient, less trauma and less side effects, and could quickly improve the symptoms of oppression with better curative effect. Conclusion: Thoracic drainage tube plus local chemotherapy for the treatment of malignant pleural effusion, simple and convenient, less trauma, less side effects, can quickly improve the symptoms of oppression, better curative effect, can improve or improve the patient’s quality of life and prolong the life of patients.