恶性胸腔积液的治疗
Treatment of malignant pleural effusion.
作者信息
Terra Ricardo Mingarini, Dela Vega Alberto Jorge Monteiro
机构信息
Thoracic Surgery Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil.
Thoracic Surgery Division, Instituto do Câncer do Estado de São Paulo, Universidade de Sao Paulo, São Paulo, SP, Brazil.
出版信息
J Vis Surg. 2018 May 22;4:110. doi: 10.21037/jovs.2018.05.02. eCollection 2018.
Abstract
Malignant pleural effusion (MPE) is a very disabling condition that often affects patients with advanced neoplasm. Conservative approach, repeated thoracentesis, pleurodesis and use of indwelling pleural catheters (IPC) are the main methods to deal with this condition. The ideal treatment must focus on symptom relief and has to take into account patient underlying diseases, performance status and necessity of adequate tissue sample for diagnosis. In a video we show techniques to perform video assisted thoracic surgery (VATS) pleural biopsy and talc poudrage pleurodesis.
摘要
恶性胸腔积液（MPE）是一种极具致残性的病症，常影响晚期肿瘤患者。保守治疗方法、反复胸腔穿刺术、胸膜固定术以及使用留置胸腔导管（IPC）是应对这种病症的主要手段。理想的治疗必须专注于缓解症状，并且必须考虑患者的基础疾病、身体状况以及获取足够组织样本用于诊断的必要性。在一段视频中，我们展示了进行电视辅助胸腔镜手术（VATS）胸膜活检和滑石粉胸膜固定术的技术。
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