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胸腔积液的胸膜固定术能否为鞘膜积液硬化治疗的药物提供思路?

Does pleurodesis for pleural effusions give bright ideas about the agents for hydrocele sclerotherapy?

作者信息

Yilmaz U, Ekmekçioğlu O, Tatlişen A, Demirci D

机构信息

Department of Urology, Inönü University Medical Faculty, Turgut Ozal Medical Center, Malatya, Turkey.

出版信息

Int Urol Nephrol. 2000;32(1):89-92. doi: 10.1023/a:1007124721793.

Abstract

OBJECTIVE

Evaluation of the effectiveness of rifampicin and some agents used in the pleurodesis of pleural effusions, such as autologous blood and purified mineral talc.

PATIENTS AND METHODS

A total of 56 hydroceles were treated by sclerotherapy, in a random fashion, using purified mineral talc, rifampicin and autologous blood as sclerosant agents. The control group of patients were handled with aspiration only.

RESULTS

The cohort of patients in the blood group had a success rate comparable to the control group (p > 0.05). the rifampicin group did better than both control and blood groups (p < 0.05) but not better than the talc group (p < 0.01). Success rate was highest in the talc group of patients who needed no re-sclerotherapy procedures.

CONCLUSION

Purified mineral talc was shown to be potentially the best sclerosant for the sclerotherapy of hydroceles and epididymal cysts.

摘要

目的

评估利福平以及一些用于胸腔积液胸膜固定术的药物的有效性,如自体血和纯化的医用滑石粉。

患者与方法

总共56例鞘膜积液患者接受了硬化治疗,随机使用纯化的医用滑石粉、利福平及自体血作为硬化剂。对照组患者仅接受穿刺抽液处理。

结果

血液组患者的成功率与对照组相当(p>0.05)。利福平组比对照组和血液组效果更好(p<0.05),但不如滑石粉组(p<0.01)。在无需再次硬化治疗的滑石粉组患者中成功率最高。

结论

纯化的医用滑石粉被证明可能是鞘膜积液和附睾囊肿硬化治疗的最佳硬化剂。

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