电视纵隔镜检查术临床应用初探  

Preliminary experience of video mediastinoscopy in clinical application

作　　者：崔有斌[1] 王凯忠[1] 李博[1] 闻国强[1] 刘国津[1] 

机构地区：[1]吉林大学第一临床医院胸外科,吉林长春130021

出　　处：《吉林医学》2005年第8期812-813,共2页Jilin Medical Journal

摘　　要：目的:探讨电视纵隔镜检查术在临床应用中的价值。方法:对2004年9月至2005年2月间行电视纵隔镜检查的8例患者进行回顾性分析,所有患者都采取在全身麻醉下,经气管前间隙向下方探察气管周围肿物和淋巴结,并进行活检。结果:有8例诊断符合,0例诊断不符合。诊断符合率为100%。其中5例纵隔淋巴结阳性的肺癌患者和1例经纵隔镜诊断恶性淋巴瘤者避免了开胸手术。结论:电视纵隔镜手术更安全、可靠,可作为纵隔疑难疾病诊断和明确肺癌术前分期的常规方法。Objective To determine the value of video-mediastinoscopy in clinical application. Method From Sep.2004 to Feb.2005 , 8 cases were examined by video-mediastinoscopy, All the patients were given mediastinoscopy under general anesthesia. Exporation and biopsy were made to the neoplasms and lymphnodes around the trachea through pretracheal interstice. Results The diagnosis of 8 patients but 0 by mediastinoscopy was consisten with the pathological diagnosis. The rate of definitive diagnosis was 100%. Five patients with metastatic lung cancer to the mediastium and 1 patients with malignant lymphadenoma avoided exploratory thoracotomy. 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 诊治 

分 类 号：R655[医药卫生—外科学]