摘要
目的探讨电视胸腔镜下胸膜固定术治疗非小细胞肺癌伴恶性胸腔积液的临床效果。方法选择87例非小细胞肺癌伴恶性胸腔积液患者作为研究对象,将其随机分为观察组(44例)与对照组(43例)。观察组给予电视胸腔镜胸膜固定术,对照组给予胸腔闭式引流术治疗。结果观察组患者的治疗总有效率为93.18%,对照组为74.42%,组间数据比较,差异具有统计学意义(P <0.05);观察组白细胞计数、蛋白定量、乳酸脱氢酶水平均低于对照组,差异具有统计学意义(P <0.05)。结论电视胸腔镜下胸膜固定术治疗非小细胞肺癌伴恶性胸腔积液效果明显。
Objective To explore effect of video-assisted thoracoscopic pleura fixation in the treatment of non-small cell lung cancer with malignant pleural effusion. Methods 87 cases were randomly divided into the observation group （44 cases） and the control group （43 cases）. The observation group was given thoracoscopic pleura fxation, and the control group was treated with closed thoracic drainage. Results The total effective rate was 93.18% in the observation group and 74.42% in the control group. The difference was statistically signifcant （P 〈 0.05）. The white blood cell count, protein quantity and lactate dehydrogenase level of the observation group were lower than those of the control group, and the difference was statistically signifcant （P 〈 0.05）. Conclusion Video-assisted thoracoscopic pleura fxation is effective in the treatment of non-small cell lung cancer with malignant pleural effusion.
作者
徐翼
韩云峰
纪沛君
张涛
余操
刘兴元
XU Yi;HAN Yunfeng;JI Peijun;ZHANG Tao;YU Cao;LIU Xingyuan(Department of Thoracic Surgery,Central Hospital of Jiangjin District,Chongqing 402260,China)
出处
《中国继续医学教育》
2018年第28期109-111,共3页
China Continuing Medical Education
关键词
电视胸腔镜
胸膜固定术
非小细胞肺癌
恶性
胸腔积液
晚期肺癌
video-assisted thoracoscopic surgery
pleural fixation
non-small cell lung cancer
malignant
pleural effusion
advanced lung cancer
