胸膜固定术治疗恶性胸腔积液278例疗效分析

目的:总结278例恶性胸腔积液患者治疗的经验。方法:2000年1月至2006年1月应用胸膜固定术治疗278例恶性胸腔积液患者。其中男153例,女125例,年龄18￣85岁,全组患者均有病理学诊断。依据病情应用胸腔闭式引流、胸腔镜、胸腔穿刺的方法将胸膜腔消除。结果:全组278例临床痊愈256例(92.1%),有效19例(6.8%),无效3例(1.2%),生存期3￣43个月,中位生存期22个月。结论:根据患者的不同情况,应用不同的方法进行胸膜固定,可以明显改善患者的生存质量,延长患者的生存期。

The results of pleurodesis in treating 278 cases with malignant pleural effusion

Objecticve To study the results of pleurodesis for 278 cases with malignant pleural effusion. Method From January 2000 to January 2006, 278 patients with malignant pleural effusion were treated by pleurodesis, in whom 153 were male and 125 were female.The ages varied from 18 to 85 years old. All had been diagnosed pathologically. Closed-drainage, VATS and pleurocentesis were used differently to these cases to eliminate the thoracic cavity. Results 256 cases (92.1%) were healed clincally, 19 cases (6.8%) benefited from pleurodesis, 3 cases (1.2%) failed. The survival time varied from 3 months to 43 months,and the median survival time was 22 months. Conclusion Properly using pleurodesis may greatly improve the patients' living quality and their survival time.