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自1995年10月~1997年12月,应用腹腔镜技术对6例经内科长达3~7个月反复诊治仍有原因不明的无肿块性胸腔积液患者进行了诊断和治疗,均获得明确诊断。其中肺癌2例,恶性胸膜间皮瘤1例,巨大囊性畸胎瘤恶变1例,毁损肺1例,慢性胸膜炎1例。手术切除治疗2例,4例探查确诊并给予相应的治疗,效果良好。对无肿块性胸腔积液诊断不明时,过于盲目的内科治疗比胸腔镜手术诊断和治疗更危险,胸腔镜技术为此类患者提供了行之有效的确诊方法,并能争取治疗时间,提高疗效
From October 1995 to December 1997, laparoscopic technique was used to diagnose and treat 6 patients with unresectable lump hydrothorax who were repeatedly diagnosed and treated for up to 3 to 7 months in the department of internal medicine diagnosis. Among them, 2 cases were lung cancer, 1 case was malignant pleural mesothelioma, 1 case was malignant cystic teratoma, 1 case was damage lung and 1 case was chronic pleuritis. Surgical resection in 2 cases, 4 cases diagnosed and given the appropriate treatment, the effect is good. When the diagnosis of lumpless pleural effusion is not clear, overly blind medical treatment is more dangerous than the diagnosis and treatment of thoracoscope surgery. Thoracoscopy provides an effective diagnostic method for such patients and can seek treatment time and improve the efficacy