电视胸腔镜治疗肝性胸水

Videothoracoscopic treatment of hepatic hydrothorax.

作者信息

Temes R T, Davis M S, Follis F M, Pett S B, Wernly J A

机构信息

Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, USA.

出版信息

Ann Thorac Surg. 1997 Nov;64(5):1468-9. doi: 10.1016/S0003-4975(97)01061-8.

DOI:10.1016/S0003-4975(97)01061-8

PMID:9386726

Abstract

Hepatic hydrothorax occurs frequently in ascites arising from communications in the diaphragm between peritoneal and pleural cavities. Numerous treatments have been described but are of limited utility due to invasiveness and poor success rate. We describe a case of hepatic hydrothorax in which the pore in the diaphragm was documented photographically and in which successful resolution was achieved with videothoracoscopic suture ligation and talc pleurodesis.

摘要

肝性胸水常见于因腹膜腔与胸膜腔之间膈肌存在交通而导致的腹水患者。已有多种治疗方法被描述，但由于其侵入性和成功率低，效用有限。我们报告一例肝性胸水病例，该病例通过电视胸腔镜缝线结扎和滑石粉胸膜固定术成功治愈，术中膈肌孔隙有影像记录。