| 电视胸腔镜在不明原因胸腔积液诊治中的价值 |
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| 引用本文： | 曹庆东,谢志强,何伟,马彦敏,李运.电视胸腔镜在不明原因胸腔积液诊治中的价值[J].中国微创外科杂志,2006,6(11):847-848. |
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| 作者姓名： | 曹庆东 谢志强 何伟 马彦敏 李运 |
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| 作者单位： | 1. 宁夏医学院第二附属医院胸外科,银川,750001
2. 北京大学人民医院胸外科,北京,100044 |
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| 基金项目： | 宁夏科技厅攻关计划项目 |
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| 摘 要： | 目的评价电视胸腔镜在不明原因胸腔积液诊治中的价值。方法2002年3月～2005年3月对常规检查无法明确病因的45例胸腔积液在电视胸腔镜下完成活检或纤维板剥脱、胸膜固定。结果45例全部确诊，其中恶性3例，结核性胸腔积液38例，非特异性胸腔积液3例，特发性胸腔积液1例。45例随访2～36个月，平均18个月，无胸腔积液复发。结论电视胸腔镜手术诊治胸腔积液具有诊断率高、安全、准确、损伤小的特点。
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| 关 键 词： | 胸腔积液 电视胸腔镜 胸膜固定术 |
| 文章编号： | 1009-6604（2006）11-0847-02 |
| 收稿时间： | 2006-02-08 |
| 修稿时间： | 2006-07-06 |
Video-assisted thoracoscopy in the diagnosis and treatment of pleural effusion with unknown causes |
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| Cao Qingdong , Xie Zhiqiang, He Wei,et al..Video-assisted thoracoscopy in the diagnosis and treatment of pleural effusion with unknown causes[J].Chinese Journal of Minimally Invasive Surgery,2006,6(11):847-848. |
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| Authors: | Cao Qingdong Xie Zhiqiang He Wei |
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| Institution: | Cao Qingdong , Xie Zhiqiang, He Wei, et al. |
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| Abstract: | Objective To investigate the value of video-assisted thoracoscopy in the diagnosis and treatment of pleural effusion with unknown causes. Methods Video-assisted thoracoscopic biopsy or pleurodesis was performed in 45 cases of pleural effusion unexplained by routine examinations from March 2002 to March 2005. Results The diagnosis was clarified in all the 45 cases. There were 3 cases of malignant effusion, 38 cases of tuberculous pleurisy, 3 cases of nonspecific effusion, and 1 case of idiopathic pleural effusion. No severe surgical complications occurred. Follow-up checkups for 2 -36 months found no recurrence. Conclusions Video-assisted thoracoscopy is a safe, effective, and micro-traumatic approach for the diagnosis and treatment of pleural effusion. |
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| Keywords: | Pleural effusion Thoracoscopy Pleurodesis |
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