Robience Y J
Service de Pneumologie, Hôpital de Warquignies, Boussu, Bruxelles.
Rev Med Brux. 1995 Jan-Feb;16(1):21-4.
Pleuro-pulmonary cancer has a place of choice in medical thoracoscopy. From the diagnostic point of view, this technique, performed under local anesthesia leads to the diagnosis of neoplastic effusion in most cases in the shortest possible time. It improves therapeutic efficacy and especially demonstrates as resectable tumours which could have been declared inoperable. For pleurodesis, pleural talc insufflation under thoracoscopy seems to be the best available technique. Complications are rare with a well-trained operator, as long as he keeps in mind the contraindications of this technique which should be taught to future pneumologists.
胸膜 - 肺癌在医学胸腔镜检查中具有重要地位。从诊断角度来看，这种在局部麻醉下进行的技术，在大多数情况下能在尽可能短的时间内诊断出肿瘤性胸腔积液。它提高了治疗效果，尤其能发现原本可能被判定为不可切除的可切除肿瘤。对于胸膜固定术，胸腔镜下胸膜滑石粉喷洒似乎是目前最佳的可用技术。只要训练有素的操作者牢记该技术的禁忌证（这些禁忌证应传授给未来的胸科医生），并发症就很罕见。
