应用电视纵隔镜诊断胸部疑难疾病的价值探讨  

Value of mediastinoscopy in diagnosis of undifferentiated thoracic disease

作　　者：彭忠民[1] 刘奇[1] 王磊[1] 陈景寒[1] 王洲[1] 刘凡英[1] 孟龙[1] 杜贾军[1] 

机构地区：[1]山东省立医院胸外科,山东济南250021

出　　处：《中国内镜杂志》2005年第3期244-245,248,共3页China Journal of Endoscopy

摘　　要：目的探讨纵隔镜手术在胸部疑难病诊断中的价值及作用。方法全麻或局麻下应用电视纵隔镜,经气管前隧道观察并活检气管周围肿物或淋巴结行病理检查以明确诊断。结果32例纵隔原因不明肿大淋巴结经纵隔镜手术后,病理证实为结节病者17例,纵隔结核5例,淋巴瘤5例,肺癌并转移4例,诊断不明原因反应性增生1例。本组无并发症发生。术中出血平均8mL(5￣30mL);手术平均25min(15￣60min)。结论纵隔镜对胸部疑难病的诊断与常规临床诊断存在较大差别,该手术安全、准确,可有效避免误诊误治。To evaluate the effect of mediastinoscopy on clinical undifferentiated thoracic disease. Under general or local anesthesia the mass and lymphonode around thachea were examined and biopsied via the anterior space of trachea. Pathological diagnosis were identifyied that 17 cases were sarcoidosis, 5 cases were mediastinum tubeculosis, 5 cases were lymphoma, 4 cases were lung cancer with mediastinum metastasis and the other was unidentified reactive hyperplasia. No complication was occurrence. The bleeding during operation was 8 ml (5~30 mL), and the time of operation was 25 min(15~60 min). [Conclusions] The diagnosis of undifferentiated thoracic disease is signifencent different between by mediastinoscopy and by the usual clinical methods. Mediastinoscopy is a safe and accurate procedure which can avilibly obtuse the chance of misdiagnosis and mistratement.

关 键 词：电视纵隔镜 胸部疾病 诊断 

分 类 号：R445[医药卫生—影像医学与核医学]