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顽固性胸腔积液的外科诊断与治疗 被引量:4

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摘要 目的探讨顽固性胸腔积液的病因和临床表现,外科介入在诊断和治疗顽固性胸腔积液中的应用价值。方法总结采用胸腔镜手术探查治疗56例顽固性胸腔积液患者的临床资料,分析其病因及治疗效果。结果术后确诊恶性胸腔积液44例(78.6%),良性胸腔积液11例(19.6%),总确诊率为98.2%,不明原因1例。恶性胸腔积液中支气管肺癌最多(64.4%),其中又以腺癌多见;良性顽固性胸腔积液以结核最为多见。术中、术后结合使用滑石粉和胞必佳进行胸膜固定,治疗总有效率达96.4%。结论采用胸腔镜手术,对顽固性胸腔积液的诊断和治疗有重要价值。
出处 《中国综合临床》 北大核心 2007年第10期924-925,共2页 Clinical Medicine of China
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