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| 电视胸腔镜胸膜固定术治疗恶性胸腔积液的临床疗效及影响因素 | |
| 引用本文： | 王争君,孙战文. 电视胸腔镜胸膜固定术治疗恶性胸腔积液的临床疗效及影响因素[J]. 现代肿瘤医学, 2015, 0(19): 2758-2760. DOI: 10.3969/j.issn.1672-4992.2015.19.15 |
| 作者姓名： | 王争君 孙战文 |
| 作者单位： | 黄石市中心医院胸心外科，湖北 黄石 435000 |
| 基金项目： | 湖北省自然科学基金面上项目(编号:2012FFB02324) |
| 摘 要： | 目的:探讨电视胸腔镜胸膜固定术治疗恶性胸腔积液的临床效果，总结影响恶性胸腔积液的相关因素。方法:回顾性分析2011年1月至2013年1月87例恶性胸腔积液患者的临床资料。全部采用电视胸腔镜胸膜固定术治疗，观察其术后的临床效果，并分析影响中位生存时间的因素。结果:电视胸腔镜胸膜固定术治疗恶性胸腔积液的总有效率为63.2%。不良反应总发生率为9.1%。Karnfsky生活质量稳定以上的占97.7%。胸膜肥厚和包裹积液的总发生率为19.5%。肿瘤类型、CEA、LDH、蛋白质含量、沙培林灌注、胸水Glu水平均是电视胸腔镜胸膜固定术治疗恶性胸腔积液的主要影响因素（P<0.05）。结论:电视胸腔镜胸膜固定术治疗恶性胸腔积液临床效果确切，而肿瘤类型、CEA、LDH、蛋白质含量、沙培林灌注、胸水Glu水平是影响预后的相关因素。 |
| 关 键 词： | 恶性胸腔积液 胸腔镜胸膜固定术 临床效果 影响因素 |
Clinical efficacy and influencing factors of malignant pleural effusion paitents treated with VATS pleurodesed |
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| Wang Zhengjun,Sun Zhanwen. Clinical efficacy and influencing factors of malignant pleural effusion paitents treated with VATS pleurodesed[J]. Journal of Modern Oncology, 2015, 0(19): 2758-2760. DOI: 10.3969/j.issn.1672-4992.2015.19.15 | |
| Authors: | Wang Zhengjun Sun Zhanwen |
| Affiliation: | Department of Cardiothoracic Surgery,Central Hospital of Huangshi City，Hubei Huangshi 435000，China. |
| Abstract: | Objective:To study the clinical efficacy and influencing factors of malignant pleural effusion paitents tredted with VATS pleurodesed.Methods:All 87 paitents with VATS pleurodesed from January 2011 to January 2013.Clinical data were analysed.They were treated by adopt video-assisted thoracoscope pleurodesis.Results:Clinical effect was 63.2%.Total incidence of adverse reaction was 9.1%.Karnfsky life quality stability was 97.7%.Pleural effusion hypertrophy and package the total incidence rate was 19.5%.Tumor types，CEA，LDH，protein content，ShaPeiLin perfusion，chest water Glu levels were video-assisted thoracoscope pleurodesis treatment of malignant pleural effusion main influenced factors (P<0.05).Conclusion:Video-assisted thoracoscope pleurodesis in the treatment of malignant pleural effusion is effective，and the tumor types，CEA，LDH，protein content，ShaPeiLin perfusion，chest water Glu levels are related factors affecting the prognosis. |
| Keywords: | malignant pleural effusion thoracoscope pleurodesis clinical effect influence factors |
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