原发性纵隔肿瘤的诊疗分析  

Analysis of diagnosis and surgical treatment of primary mediastinal tumor

作　　者：李璟波[1] 李英杰[1] 

机构地区：[1]解放军总医院第一附属医院胸心外科,北京100048

出　　处：《临床肺科杂志》2013年第4期700-701,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨原发性纵隔肿瘤的诊断及外科治疗方法。方法对我院50例原发性纵隔肿瘤患者的临床资料进行分析。结果 50例患者均经手术治疗,术后病理证实为原发性纵隔肿瘤。其中:胸腺肿瘤及囊肿26例,占52%;神经源性肿瘤12例,占24%;畸胎样瘤4例,占8%。全组均完整切除或大部切除,无手术相关严重并发症及死亡病例。结论在原发性纵隔肿瘤中,病率最高为胸腺肿瘤及囊肿,其次为神经源性肿瘤及畸胎样瘤。无论肿瘤良恶性,外科手术均是确诊及治疗的第一选择。Objective To investigate the diagnosis and surgical treatment of primary mediastinal tumor. Methods The clinical data of 50 primary mediastinal tumor cases were retrospectively analyzed. Results All of the 50 patients with mediastinal tumor were sur- gically treated, and improved pathologically. There were 26 cases （52%） of thymoma, 12 cases （24%） of neuregenic tumor, 4 cases （8%） of teratoma. There was no serious complications or death reported peri - operatively. Conclusion The incidence of primary medi- astinal tumor from high to low in this group is thymoma, neurogenic tumor,teratoma. Surgical operation is the first choice no matter the pri- mary mediastinal tumor is benign or malignant.

关 键 词：纵隔肿瘤 诊断 外科手术 

分 类 号：R734.5[医药卫生—肿瘤]