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폐암에 의한 악성 흉막삼출환자에서 OK-432와 Doxycycline 흉막유착술의 비교

Other Titles
 Comparison of OK-432 and Doxycycline Pleurodesis for Malignant Pleural Effusions Caused by Lung Cancer 
Authors
 정재호  ;  박무석  ;  정재희  ;  김영삼  ;  장준  ;  김주항  ;  곽승민  ;  김성규  ;  김세규 
Citation
 Tuberculosis and Respiratory Diseases (결핵 및 호흡기질환), Vol.52(6) : 590-596, 2002 
Journal Title
 Tuberculosis and Respiratory Diseases  (결핵 및 호흡기질환) 
ISSN
 3780-0066 
Issue Date
2002
Abstract
Background : Lung cancer is the leading cause of malignant pleural effusions, which is currently most commonly treated using pleurodesis via bedside thoracostomy. Several agents had been used for the treatment of pleural sclerosis, but with differing efficacies and associated side effects. Our purpose with this study was to compare the efficacy, side effects and disease free survival times of patients being treated with OK-432 and doxycycline sclerotherapy in lung cancer induced malignant pleureal effusions. Materials and Methods : 79 patients who underwent pleurodesis with OK-432 and doxycycline, between Jan.1994 and Aug. 2001, were retrospectively reviewed. Response 30 days following pleurodesis were determined from chest radiographs, with the disease free survival time being evaluated according to the response. Results : The success rates, 30 day followint pleurodesis, with OK-432 and doxycycline 83 and 87%, respectively (p=0.677). With regard to the side effects, fever was more common when OK-432 was used (59%, p=0.001), and pain was more common with doxycycline use (73%, p=0.008). There was no significant difference in disease free survival times between OK-432 (13.6 Months) and doxycycline (11.6 Months) (p=0.532). Conclusion : with the use of OK-432, for pleurodesis, was as effective as doxycycline, can be considered as an alternative treatment for malignant effusion in patients with lung cancer.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
곽승민(Kwak, Seung Min)
김성규(Kim, Sung Kyu)
김세규(Kim, Se Kyu)
김영삼(Kim, Young Sam) ORCID logo https://orcid.org/0000-0001-9656-8482
김주항(Kim, Joo Hang)
박무석(Park, Moo Suk) ORCID logo https://orcid.org/0000-0003-0820-7615
장준(Chang, Joon) ORCID logo https://orcid.org/0000-0003-4542-6841
정재호(Chung, Jae Ho)
정재희(Jung, Jae Hee)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/143342
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