临床医学工程Issue(4)：401-402,2.DOI:10.3969/j.issn.1674-4659.2015.04.0401
电视胸腔镜治疗不明原因胸腔积液的临床分析
Clinical Analysis of Video-assisted Thoracoscopy in the Treatment of Unexplained Pleural Effusion
王楚华 1邓江波 1林元沛1
作者信息
- 1. 广东省英德市人民医院，广东清远513000
- 折叠
摘要
Abstract
Objective To explore the clinical effect of video-assisted thoracoscopy (VATS) in the treatment of unexplained pleural effusion. Methods Clinical data of 184 patients with unexplained pleural effusion were retrospectively analyzed, all patients were checked by VATS, and 117 patients among them received pleura decollement. The clinical effect and complications were observed. Results Of 184 patients, 170 cases got a definite diagnosis, the diagnosis rate was 92.4%, with malignant pleural effusion in 109 cases (64.1%), tuberculous pleurisy in 40 cases (23.5%), parapneumonic effusion in 10 cases (5.9%) and non-specific inflammatory in 11 cases (6.5%). The incidence of chest pain and fever in patients received pleura decollement were higher than those in patients only received VATS, with statistical difference (P<0.05);but the incidence of cough and chest distress, mortality within two-month and other complications of two groups had no statistical difference (P >0.05). Conclusions VATS has high diagnosis rate in unexplained pleural effusion. Pleura decollement is an effective mean for treating unexplained pleural effusion, which does not significantly increase the incidence of complications like postoperative cough, chest distress and death compared with VATS alone.关键词
电视胸腔镜/不明原因/胸腔积液/胸膜剥离Key words
Video-assisted thoracoscopy/Unexplained/Pleural effusion/Pleura decollement分类
医药卫生引用本文复制引用
王楚华,邓江波,林元沛..电视胸腔镜治疗不明原因胸腔积液的临床分析[J].临床医学工程,2015,(4):401-402,2.
