摘要
Abstract
Objective To study the pleura joint local tumor resection under thoracoscope assisted heat burning clinical effect for the treatment of lung cancer with malignant pleural effusion. Methods Our hospital oncology in June 2010 to June 2011 line 37 cases of surgical operation in treating malignant pleural effusion of lung cancer patients as experimental group, at the same time selection in our hospital treatment but choose conservative treatment of 20 patients with lung cancer patients with malignant pleural effusion as control group, compared two groups of treatment effect. Results The treatment group effective rate was 83.78%, signiifcantly higher than that of control group effectiveness 45.0%, after a statistical test is the difference between the two groups of efifcient statistically signiifcant (P <0.05);After treatment of CEA, CA-125, CYFRA21-1, NSE levels were signiifcantly lower, check index in the experimental group after treatment compared with before treatment differences statistically significant (P<0.05), check indexes in the control group after treatment compared with before treatment differences statistically signiifcant (P<0.05). After treatment between two groups of CEA, CA-125, CYFRA21-1, NSE level differences statistically signiifcant (P<0.05);All patients followed up to June 2013, ending in death. The test median survival time was 22.5 months, control group median survival time was 11.5 months. Conclusion Pleural hot burning joint local tumor excision in the treatment of lung cancer with malignant pleural effusion under thoracoscope assisted effect signiifcantly, can prolong the survival time of patients.关键词
胸膜热烧灼/局部肿瘤切除/胸腔镜/肺癌恶性胸腔积液Key words
Pleural thermal cautery/Local tumor excision/Thoracoscope/Lung cancer and malignant hydrothorax
