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探索医学性胸膜固定术的疗效与进展:当前研究的全面综述

Exploring the efficacy and advancements of medical pleurodesis: a comprehensive review of current research.

作者信息

Castaldo Nadia, Fantin Alberto, Palou-Schwartzbaum Michelangelo, Viterale Giovanni, Crisafulli Ernesto, Sartori Giulia, Aujayeb Avinash, Patrucco Filippo, Patruno Vincenzo

机构信息

Department of Pulmonology, S. Maria della Misericordia University Hospital, Udine, Italy.

Department of Medicine, Respiratory Medicine Unit, University of Verona and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy.

出版信息

Breathe (Sheff). 2024 Aug 27;20(2):240002. doi: 10.1183/20734735.0002-2024. eCollection 2024 Jun.

DOI:10.1183/20734735.0002-2024
PMID:39193457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11348907/
Abstract

This narrative review aims to provide an overview of medical pleurodesis techniques, and their indications and potential adverse effects. Pleurodesis is a procedure performed with the aim of obliterating the pleural space. It has indications in the management of both malignant and benign pleural effusions and pneumothorax. Various nonsurgical techniques exist to perform pleurodesis. The scope of this work is to review the different nonsurgical techniques and their indications. This narrative review was performed checking scientific databases for medical literature, focusing especially on the data derived from randomised controlled trials. Pleurodesis is an effective method to manage pleural effusions and pneumothorax, and minimally invasive techniques are now frequently used with good results. Further research is needed to assess the efficacy of new treatments and the possibility of using different techniques in association.

摘要

本叙述性综述旨在概述医学性胸膜固定术技术及其适应证和潜在不良反应。胸膜固定术是一种旨在消除胸膜腔的操作。它在恶性和良性胸腔积液及气胸的治疗中均有适应证。存在多种非手术技术来实施胸膜固定术。本研究的范围是回顾不同的非手术技术及其适应证。本叙述性综述通过检索科学数据库以查找医学文献,尤其关注来自随机对照试验的数据。胸膜固定术是治疗胸腔积液和气胸的有效方法,目前微创技术经常被使用且效果良好。需要进一步研究来评估新治疗方法的疗效以及联合使用不同技术的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/20db03c66d94/EDU-0002-2024.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/ba2eb5c322fa/EDU-0002-2024.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/6b54607f6283/EDU-0002-2024.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/20db03c66d94/EDU-0002-2024.03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/ba2eb5c322fa/EDU-0002-2024.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/6b54607f6283/EDU-0002-2024.02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f28/11348907/20db03c66d94/EDU-0002-2024.03.jpg

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Thorax. 2023 Jul;78(Suppl 3):s1-s42. doi: 10.1136/thorax-2022-219784.
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Indwelling Pleural Catheter: Management of Complications.
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Semin Respir Crit Care Med. 2023 Aug;44(4):454-461. doi: 10.1055/s-0043-1769093. Epub 2023 May 31.
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