摘要
目的总结32例巨大纵隔肿瘤的诊断要点及外科治疗经验。方法总结2000年至2009年在北京协和医院胸外科住院并行手术治疗的32例巨大纵隔肿瘤患者的临床资料并进行文献复习,详细分析该病的临床表现、诊断及外科治疗方法。结果 32例患者均成功进行手术治疗。其中肿瘤完整切除25例,大部切除7例。切除肿瘤同时行部分心包切除5例,肺楔形切除5例,肺叶切除1例。32例患者无围手术期死亡。结论手术是巨大纵隔肿瘤主要治疗方法。术前明确诊断与手术方式的选择尤为重要,诊断主要依靠X线、B超和CT。正确选择合适的切口和手术技巧是治疗成功的关键。
Objective To review the experience of diagnosis and surgical treatment of 32 cases with giant mediastinal tumor. Methods The clinical data of 32 cases with giant mediastinal tumor were retrospectively analyzed in our hospital from 2000 to 2009. With the clinical data of 32 cases and review of related literatures, the etiology, clinical manifestations, diagnosis, pathological characteristics and management as well as prognosis of giant mediastinal tumor were described. Results Of the 32 cases, 25 cases had been successfully removed; 7 cases had been conducted palliative operation. Of the 32 cases, wedge excision of pulmonary were done in 5 cases, lobectomy of lung was done in 1 case, par- tial pericardia excision were done in 5 cases, no one died. Conclusion Surgical treatment remains the most important methods for giant mediastinal tumor. It is important to make a definite diagnosis and choose proper operations approach. X-ray, B-US and CT should be important preoperative diagnostic methods. The choice of proper operation incision and appropriate surgical skill during operation can improve surgical safetly and prognosis.
出处
《北京医学》
CAS
2013年第1期12-14,共3页
Beijing Medical Journal
关键词
纵隔肿瘤
诊断
外科治疗
Mediastinal tumors Diagnosis Surgical treatment
