视频胸腔镜手术治疗渗出性胸腔积液及其并发症的处理:一所社区医院的经验

R. Baral
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引用次数: 1

摘要

背景:渗出性胸腔积液是胸膜疾病的常见表现。长期胸腔积液可能会使腔和皮层的形成复杂化。电视胸腔镜手术是诊断和处理并发症的有用工具。本研究的目的是确定渗出性胸腔积液的原因并治疗相关并发症。材料和方法:对所有接受手术治疗的渗出性胸腔积液患者前瞻性收集的数据进行回顾性分析。数据是在加德满都的一家社区医院收集的,历时四年。结果:在38例接受电视胸腔镜手术的患者中,只有33例符合分析条件。男女比例为2.3:1,男性(23)占优势。胸腔积液分析中,26例(78.8%)淋巴细胞占优势,23例(69.7%)腺苷脱氨酶水平超过40国际单位。在组织病理学检查中,最常见的发现是肉芽肿性炎症13例(39.4%),恶性9例(27.3%),非特异性慢性炎症9例(2.73%)。恶性肿瘤中腺癌3例(9.09%)最常见,间皮瘤2例(6.06%),其他4例(12.12%)。结论:电视胸腔镜手术在渗出性胸腔积液的诊断中有一定作用,尤其是在诊断困难的情况下。电视胸腔镜手术在胸腔积液并发症的诊断和治疗中具有重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Video Assisted Thoracoscopic Surgery in Exudative Pleural Effusion and its Complication Management: An Experience in a Community Hospital
Background: Exudative pleural effusions are common presentation of pleural disease. Long standing pleural effusion might complicate with loculations and cortex formation. Video assisted thoracoscopic surgery can be a useful tool for the diagnosis and the management of the complications. The aim of the study is to determine the cause and treat the complications related to the exudative pleural effusions. Materials and Methods: It is a retrospective analysis of prospectively collected data of all patients with exudative pleural effusions subjected to surgical management. Data were collected over a period of four years in a community hospital in Kathmandu. Results: Of 38 patients who underwent Video assisted thoracoscopic surgery only 33 were eligible for analysis. Male to female ratio was 2.3:1 with male (23) dominance. Twenty six (78.8%) had lymphocyte predominance and 23 (69.7%) had Adenosine deaminase level of more than 40 International unit in pleural fluid analysis. In histopathological examination most common finding was granulomatous inflammation 13 (39.4%), 9 (27.3%) were malignancy and 9 (27.3%) were nonspecific chronic inflammation. Of malignancies adenocarcinoma 3 (9.09%) was the most common finding, mesothelioma 2(6.06%) and 4 (12.12%) other. Conclusion: Video assisted thoracoscopic surgery has a role to play in diagnosis of exudative pleural effusions, particularly when there is dilemma in diagnosis. Video assisted thoracoscopic surgery definitely has a role in diagnosis and treatment of the complications related to pleural effusions.
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