电视纵隔镜术的临床应用和体会  

Video - assisted mediastinoscopy in diagnosis of chest disease

作　　者：郑志坤[1] 李劲松[1] 王建军[1] 江科[1] 聂君[1] 乔新伟[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胸外科,武汉430022

出　　处：《临床外科杂志》2011年第11期766-768,共3页Journal of Clinical Surgery

摘　　要：目的探讨电视纵隔镜术在胸外科疾病中的应用体会。方法回顾性分析我科2008年3月至2010年10月开展的64例电视纵隔镜术病例，58例患者行颈部纵隔镜术，5例行胸骨旁纵隔镜术，1例大量胸腔积液患者行胸膜纵隔镜活检术，标本分别送冰冻和石蜡病理检查。结果本组63例患者获得明确病理诊断，1例假阴性病例，准确率为98．4％，无手术死亡发生，1例纵隔淋巴结结核患者切口感染，换药后Ⅱ期缝合治愈，余无严重并发症发生。结论电视纵隔镜术是一项创伤性小、安全性好、准确率高的临床诊治方法。Objective To discuss the experience of video - assisted mediastinoscopy in the diag- nosis of chest disease. Methods The clinical records of 64 patients who underwent video - assisted mediastinoscopy in department of thoracic surgery of Wuhan Union Hospital from March 2008 to October 2010 were retrospectively reviewed. Biopsies consisted of cervical mediastinoscopy in 58 patients, parasternal mediastinoscopy in 5 patients, and pleural mediastiuoscopy in 1 patient with massive pleural effusion. Specimens were sent for frozen section examination and paraffin section examination. Results A total of 63 patients obtained clear histological diagnosis, and 1 patient had false - negative result. The diagnosis accuracy was 98.4%. No intraoperative death occurred. One patient with mediastinal lymphonode tuberculosis had wound infection, which was cured by change of dressing and secondary suture. Others had no serious complication. Conclusion Video - assisted mediastinoscopy is a safe and precise method for diagnosis of chest disease.

关 键 词：胸外科疾病 电视纵隔镜术 临床诊治 胸腔积液 

分 类 号：R655.5[医药卫生—外科学]