摘要
目的 讨论26例胸膜间皮瘤的诊断与治疗经验。方法 分析临床资料包括年龄、石棉接触史、临床表现、影像学检查、实验室检查、转移情况和治疗及预后。结果 26例患者中仅2例 (7.7 % )有石棉接触史 ,10例 (38.5 % )无明显胸痛 ,21例 (80.8 % )X线、B超、胸腔镜等检查提示单侧胸腔积液或肿块 ,16例 (61.5% )胸水或细针穿刺找到间皮瘤细胞。结论 石棉接触史并非胸膜间皮瘤唯一病因 ,胸痛也并非其诊断必备条件 ,X线、B超、胸腔镜检查等对临床发现胸膜间皮瘤具有重要价值。
Objective To investigate the diagnosis and treatment of 26 patients with pleural mesothelioma. Methods Aanlyses were made on 26 patients with pleural mesotheliona,including age, history of exposure to asbestos, clinical manifestation, laboratory examination and metastases, treatment and prognosis. Results Only two(7.7%)of these 26 patients had history of exposure to asbestos. Ten cases(38,5%)had no obvious thoracodynia, 21 cases(84.6%)had pleural effusion or tomor.Malignaut mesothelial cells were found in 16 cases(61.5%) in the pleural effusion and by fine neddle aspiration. Conclusion Exposure to asbestos was not the only cause of pleural mesothelioma. Roentgen-ray, Bultrasonography and thoracoscopy examination were important in the diagnosis of pleural mesotheliona. 〔
出处
《浙江临床医学》
2000年第3期165-166,共2页
Zhejiang Clinical Medical Journal
关键词
胸膜肿瘤
间皮瘤
诊断
治疗
pleural neoplasms
mesothelioma
metastaisis
diagnosis
treatment
