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目的 探讨胸腔镜在恶性胸腔积液诊断和治疗上的价值。方法 对15例原因不明的胸腔积液患者作胸腔镜检查,并经胸腔镜喷入滑石粉及顺铂治疗。结果 所有病例经胸腔镜行活检均确诊为恶性病变,总诊断率为100%。经滑石粉喷入和顺铂局部治疗后14例获得完全的胸膜固定,持久的成功率为93.3%。结论 胸腔镜对胸腔积液病因诊断有较高临床实用价值,滑石粉胸膜固定加顺铂治疗是控制恶性胸腔积液、治疗晚期癌症的一种有效方法。
Objective To investigate the value of thoracoscopy in the diagnosis and treatment of malignant pleural effusion. Methods Thoracoscopy was performed on 15 patients with unexplained pleural effusion and treated with talc and cisplatin. Results All cases were confirmed as malignant by thoracoscopic biopsy. The total diagnostic rate was 100%. Complete pleurodesis was obtained in 14 cases after topical treatment with talc injection and cisplatin, and the long-term success rate was 93.3%. Conclusion Thoracoscopic thoracoscopic pleural effusion diagnosis has a higher clinical value. Talcum powder pleurodesis plus cisplatin is an effective method to control malignant pleural effusion and treat advanced cancer.