26例胸膜间皮瘤的诊断与治疗

• 作 者: 杨伯泉 翁方纪 陈加生 徐同珊
• 机 构: 浙江省德清县人民医院,浙江省德清县人民医院,浙江省德清县人民医院,浙江省德清县人民医院
• 出 处: 浙江临床医学
• 发表日期: 2000年03期
• 关键词: 胸膜间皮瘤 胸腔镜检查 细针穿刺 间皮瘤细胞 胸痛 胸腔积液 胸腔闭锁引流 影像学检查 石棉 胸膜活检

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 discuss the diagnosis and treatment of 26 cases of pleural mesothelioma. Methods Clinical data including age, history of asbestos exposure, clinical manifestations, imaging studies, laboratory tests, metastases, and treatment and prognosis were analyzed. Results Of the 26 patients, only 2 patients (7.7%) had history of asbestos exposure, 10 (38.5%) had no chest pain and 21 (80.8%) had X-ray, B ultrasound and thoracoscope examination. Mass, 16 cases (61.5%) pleural effusion or fine needle puncture to find mesothelioma cells. Conclusion The history of asbestos exposure is not the only cause of pleural mesothelioma. Chest pain is not the prerequisite for its diagnosis. X-ray, B-ultrasound and thoracoscope examination are of great value in clinical diagnosis of pleural mesothelioma.