【摘要】 目的:探讨胸腔镜对于晚期肺癌合并胸腔积液治疗的临床适应症和可行性。方法:符合入组条件的晚期肺癌合并胸腔积液患者62例,随机分为胸腔镜组34例和对照组(胸腔穿刺闭式引流组)28例,对其治疗效果进行对照分析。结果:所有患者术后呼吸困难症状均减轻,无急性肺损伤发生。与对照组比,胸腔镜组胸腔积液治疗后有效率更高,而复发率更低,有显著性差异(P<0.05);两组在生存时间方面无显著性差异。结论:胸腔镜手术治疗肺癌晚期胸腔积液是一种安全、有效的姑息治疗方法。更多还原

【Abstract】 Objective:To discuss the clinical adaptation and feasibility about video-assisted thoracoscopic treatment of advanced lung cancer pathients with pleural effusion.Methods: 62 advanced lung cancer pathients with pleural effusion were divided randomly into video-assisted thoracoscopic surgery group and control or pleural puncture closed thoracic drainage group,and the comparison between 2 treatment groups was carried out.Results: The symptom of dyspnea alleviated in all patients,there was no-acute lung injury.Compared with the control group ,there was a significant difference in the remission rate and relapse rate of pleural effusion in observing group (P<0.05). Conclusion: Video-assisted thoracoscopic surgery is a safe and effective method for the treatment of pleural effusion of advanced lung cancer.更多还原