Department of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.
Integrated Care Management Center, Outpatient Department, West China Hospital, Sichuan University, Sichuan, Chengdu, China.
Respir Res. 2024 Nov 11;25(1):406. doi: 10.1186/s12931-024-03001-y.
Medical thoracoscopy has been extensively utilized in the diagnosis of pleural disease, yet its potential therapeutic applications remain underutilized. This article presents a comprehensive overview of the various uses of medical thoracoscopy in managing pleural diseases. It has been employed to facilitate thoracic drainage and reduce hospitalization duration of patients with complicated parapneumonic effusions and empyema. Additionally, medical thoracoscopic occlusion therapy can be used for bronchoscopic closure and refractory pneumothorax. However, there is currently a lack of standardized protocols for utilizing medical thoracoscopy to reduce the volume of giant emphysematous bullae. Furthermore, medical thoracoscopy allows for pleurodesis or photodynamic therapy in patients with malignant pleural effusion. Nevertheless, further high-quality clinical research is needed to validate these findings.
胸腔镜检查在胸膜疾病的诊断中得到了广泛应用，但它在治疗方面的应用潜力尚未得到充分利用。本文全面介绍了胸腔镜检查在胸膜疾病治疗中的各种应用。它已被用于为患有复杂类肺炎性胸腔积液和脓胸的患者提供胸腔引流，并缩短其住院时间。此外，胸腔镜下闭塞治疗可用于支气管镜下闭合和难治性气胸。然而，目前还没有标准化的方案来利用胸腔镜检查来减少巨大气肿性肺大疱的体积。此外，胸腔镜检查还可在恶性胸腔积液患者中进行胸膜固定术或光动力治疗。然而，需要进一步开展高质量的临床研究来验证这些发现。
