电视纵隔镜术在胸部肿瘤诊治中的探讨  

Study of Video-mediastinoscopy on the Diagnose and Treatment of Chest Tumors

作　　者：杨劼[1] 王俊[2] 谭家驹[1] 李文军[1] 叶国麟[1] 古卫权[1] 潘瑞琳[1] 叶俊[1] 

机构地区：[1]广东佛山市第一人民医院胸外科,528000 [2]北京大学人民医院胸外科

出　　处：《肿瘤防治研究》2004年第7期420-421,共2页Cancer Research on Prevention and Treatment

摘　　要：目的　探讨电视纵隔镜检查术在肺癌的术前分期、纵隔肿物、恶性胸腔积液诊治的应用。方法　本组 34例 ,19例行颈部纵隔镜术 ,7例胸骨旁纵隔镜检查术 ,8例行径肋间纵隔镜术。结果　确诊为腺癌 10例 ,转移性低分化鳞癌 6例 ,胸腺鳞状细胞癌 3例 ,胸腺瘤 3例 ,小细胞癌 1例 ,非霍奇金淋巴瘤2例 ,神经母细胞瘤 2例 ,原始神经外胚叶肿瘤 1例 ,结核 2例 ,炎症 1例 ,反应性增生 1例。 2例术前纤支镜病理确诊左下肺鳞癌 ,电视纵隔镜检查右气管旁淋巴结转移。结论　电视纵隔镜术不但是肺癌术前病理分期、纵隔疾病的重要检查方法 。Objective To study the application of video mediastinoscopy in the preoperative staging of lung cancer and the treatment of palmar hyperhidrosis,the diagnosis and treatment of mediastinal tumors or malignant pleural effusion.Methods Video-mediastinoscopy was performed on 34 ,19 patients of them underwent Cervical Mediastinoscopy; 7 of them underwent Parasternal mediastinoscopy; 7 of them underwent Intercostal Mediastinoscopy.Results Adenocarcinoma was diagnosed in 10 patients. Squamous cell carcinoma of thymus in 3 patients, small cell carcinoma in 1 patients, tuberculosis in 2 patients, Non Hodgkin's Lymphoma in 2 patients, neurouastoma in 2 patients, primitive neuroectodermal tumor in 1 patients, inflammation in 1 patients, reactive hyperplasia in 1 patients. Presurgicaly 2 patients were confirmed diagnosed as lung cancer in left inferior lobe by brochoscopy, and VM revealed the metastasis in lymph nodes of right superior mediastinum.Conclusion Video mediastinoscopy is not only an important examination in the preoperative staging of lung cancer and diagnosis of mediastinal disease, but also an optimal surgical procedure in the treatment of mediastinal tumor and malignant pleural effusion.

关 键 词：电视纵隔镜 肺癌 纵隔肿物 胸腔积液 诊治 

分 类 号：R655[医药卫生—外科学]