| 内科胸腔镜对恶性胸腔积液诊治的临床研究 |
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| 引用本文： | 刘彤媌,石寒冰,王菲,牟铁军,赵焕,李伟,姜云飞,毕红霞.内科胸腔镜对恶性胸腔积液诊治的临床研究[J].临床肺科杂志,2013,18(8):1468-1469. |
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| 作者姓名： | 刘彤媌 石寒冰 王菲 牟铁军 赵焕 李伟 姜云飞 毕红霞 |
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| 作者单位： | 刘彤媌 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 石寒冰 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 王菲 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 牟铁军 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 赵焕 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 李伟 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 姜云飞 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； 毕红霞 (齐齐哈尔,齐齐哈尔医学院附属第三医院呼吸二科,黑龙江,161000)； |
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| 基金项目： | 2012年黑龙江省教育厅资助项目(项目编号：12531816) |
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| 摘 要： | 目的探讨内科胸腔镜在恶性胸腔积液诊治中的临床应用效果。方法对我科以恶性胸腔积液住院的患者,分为胸腔镜组及对照组,对诊治结果进行诊断分析,评价内科胸腔镜对恶性胸腔积液的诊断阳性率和治疗恶性胸腔积液的临床疗效。结果胸腔镜组确诊率为92.9%,对照组确诊率为69.05%。两组患者的治疗效果比较,其完全缓解率具有统计学意义(P<0.05)。结论内科胸腔镜对恶性胸腔积液进行胸膜活检,诊断率阳性率高,在治疗方面,胸腔镜下胸膜固定术能够有效地控制恶性胸腔积液的产生,效果明显优于传统胸腔引流术,值得临床广泛推广应用。
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| 关 键 词： | 内科胸腔镜 胸腔积液 胸膜固定术 滑石粉 |
Clinical study of medical thoracoscopy in the diagnosis and treatment of patients with malignant pleural effusion |
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| LIU Tong-miao,SHI Han-bing,WANG Fei,MU Tie-jun,ZHAO Huan,LI wei,JIANG Yun-fei,BI hong-xia.Clinical study of medical thoracoscopy in the diagnosis and treatment of patients with malignant pleural effusion[J].Journal of Clinical Pulmonary Medicine,2013,18(8):1468-1469. |
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| Authors: | LIU Tong-miao SHI Han-bing WANG Fei MU Tie-jun ZHAO Huan LI wei JIANG Yun-fei BI hong-xia |
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| Institution: | (the Second Breathing Division of the Third Affiliated Hospital of Qiqihar Medical College,Qiqihar,Heilongjiang 161000,China) |
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| Abstract: | Objective To explore the effects of the clinical application of medical thoracoscopy in the diagnosis and treatment of malignant pleural effusion.Methods Patients with malignant pleural effusion were divided into the thoracoscopic group and the control group.The diagnostic positive rate and clinical curative effect were retrospectively observed and compared.Results The diagnostic rates were 92.9% and 69.05% respectively in the thoracoscopic group and in the control group.There were significant differences in complete remission rate and total efficiency between the two groups（P〈0.05）.Conclusion Medical thoracoscopy has a high positive diagnostic rate in the pleural biopsy of patients with malignant pleural effusion.Besides,pleurodesis under medical thoracoscopy can effectively control the generation of malignant pleural effusion,which is more effective than the conventional chest drainage and worth to be applied in clinical use widely. |
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| Keywords: | medical thoracoscopy pleural effusion pleurodesis talcum powder |
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