Billè Andrea, Borasio Piero, Gisabella Mara, Errico Luca, Gatherer Robert, Ardissone Francesco
Department of Clinical and Biological Sciences, Thoracic Surgery Unit, San Luigi Hospital, University of Turin, 10043 Orbassano (Turin), Italy.
Gen Thorac Cardiovasc Surg. 2011 Jul;59(7):522-4. doi: 10.1007/s11748-010-0746-0. Epub 2011 Jul 14.
Chemical pleurodesis is widely used in symptomatic patients with malignant pleural effusion to relieve symptoms, prevent fluid recurrence, and improve quality of life. Talc has been repeatedly found to be the most effective sclerosant agent, and thoracoscopic talc poudrage has been found to be the most effective pleurodesis technique. A homogeneous talc distribution on the visceral and parietal pleura helps to achieve complete pleural symphysis. We have recently adopted a new suitable sterile device that delivers talc under low and constant pressure, facilitating uniform coating of the whole pleural surface and avoiding inappropriate deposition of talc clumps.
化学性胸膜固定术广泛应用于有症状的恶性胸腔积液患者，以缓解症状、预防液体复发并改善生活质量。滑石粉已被反复证明是最有效的硬化剂，而电视胸腔镜滑石粉喷洒术被认为是最有效的胸膜固定术。脏层和壁层胸膜上滑石粉分布均匀有助于实现完全的胸膜粘连。我们最近采用了一种新型合适的无菌装置，该装置能在低且恒定的压力下输送滑石粉，有助于整个胸膜表面均匀涂布，避免滑石粉结块不当沉积。
