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目的探讨胸腔积液的治疗方法的选择和应用。方法回顾分析我院从2008年1月至2011年5月45例恶性胸腔积液分为二组,分别采用微创法向胸腔注射药物和胸腔镜手术治疗胸腔积液。结果两组均取得明显疗效。结论采用微创法引流胸腔积液,创伤小,胸水引流充分,在经胸部B超或肺CT检查证实胸水引流完全后,再向胸腔注射药物,效果较好,并发症少,生存期延长,预后好,缺点是可能需2～4次向胸腔内注射药物才能达到满意效果。胸腔镜治疗效果满意,但仍有创伤,部分或者术后伴有发热症状,疼痛较重,但效果确切。
Objective To explore the selection and application of the treatment of pleural effusion. Methods Retrospective analysis of our hospital from January 2008 to May 2011, 45 cases of malignant pleural effusion were divided into two groups, respectively, using minimally invasive injection of thoracic cavity and thoracoscopic surgery for the treatment of pleural effusion. Results The two groups have achieved significant results. Conclusions Minimally invasive drainage of pleural effusion, trauma, hydrothorax drainage sufficient, confirmed by chest CT examination of pleural effusion pleural effusion completely, and then to the chest injection of drugs, the effect is better, less complications, prolonged survival, The prognosis is good, the disadvantage is that it may take 2 to 4 times to the chest to inject drugs to achieve satisfactory results. Thoracoscopic treatment of satisfactory results, but there are still traumatic, some or postoperative fever, severe pain, but the exact effect.