电视胸腔镜在自发性及术后乳糜胸治疗中的应用价值
Usefulness of video thoracoscopy in the management of spontaneous and postoperation chylothorax.
作者信息
Peillon C, D'Hont C, Melki J, Fattouh F, Perrier G, Dujon A, Testart J
机构信息
Department of General and Vascular Surgery, Rouen University Hospital, 1 Rue de Germont, 76031 Rouen Cedex, Rouen, France.
出版信息
Surg Endosc. 1999 Nov;13(11):1106-9. doi: 10.1007/s004649901183.
BACKGROUND
The aim of this study was to evaluate indications and results of video thoracoscopy (VATS) in the management of nine chylothorax cases.
METHODS
Four spontaneous chylothorax cases were treated by VATS and talc pleurodesis with immediate positive results. Among five postoperation chylothorax cases, two were treated early by VATS and selective lymphatic clipping (VATS group), and three had medical treatment (MT group).
RESULTS
Duration of drainage was 4 days for the VATS group versus 15.3 days for MT group. Amount of collected chyle was 2.4 l versus 5.7 l, respectively.
CONCLUSIONS
We suggest that VATS should be considered the treatment of choice for spontaneous chylothorax and could be indicated earlier in postoperation chylothorax.
背景
本研究旨在评估电视胸腔镜手术（VATS）治疗9例乳糜胸的适应证及效果。
方法
4例自发性乳糜胸患者接受了VATS及滑石粉胸膜固定术，术后即刻取得了阳性效果。在5例术后乳糜胸患者中，2例早期接受了VATS及选择性淋巴管结扎术（VATS组），3例接受了保守治疗（MT组）。
结果
VATS组的引流时间为4天，而MT组为15.3天。收集的乳糜量分别为2.4升和5.7升。
结论
我们建议VATS应被视为自发性乳糜胸的首选治疗方法，对于术后乳糜胸也可更早地采用该方法。
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