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目的探讨电视胸腔镜辅助下胸膜固定术治疗恶性胸腔积液的临床疗效。方法回顾性分析电视胸腔镜辅助下胸膜内喷洒滑石粉治疗恶性胸腔积液26例患者的临床资料。结果所有病例均手术成功,胸膜固定术有效率为94.4%。无严重并发症发生。结论电视胸腔镜在恶性胸腔积液的处理中具有安全、微创、诊断准确的特点,胸膜腔内喷洒滑石粉是胸膜固定的有效方法。
Objective To investigate the clinical efficacy of video-assisted thoracoscopic assisted pleurodesis in the treatment of malignant pleural effusion. Methods The clinical data of 26 patients with malignant pleural effusion treated with intrapleural spraying of talc under the assistance of video-assisted thoracoscopy were retrospectively analyzed. Results All the cases were operated successfully. The effective rate of pleurodesis was 94.4%. No serious complications occurred. Conclusions Video-assisted thoracoscopy is safe, minimally invasive and accurate in the treatment of malignant pleural effusion. Spraying talcum in the pleural cavity is an effective method for pleurodesis.