巨大纵隔肿瘤36例的外科诊治体会  

Experience of surgical treatment of huge mediastinal tumors

作　　者：李元博[1] 张毅[1] 许庆生[1] 苏雷[1] 支修益[1] 王若天[1] 钱坤[1] 胡牧[1] 刘磊[1] 

机构地区：[1]首都医科大学宣武医院胸外科,北京100053

出　　处：《中华医学杂志》2014年第35期2766-2768,共3页National Medical Journal of China

摘　　要：的 总结巨大纵隔肿瘤外科诊断治疗的经验,评价手术安全性及疗效.方法 回顾性分析2006年6月至2013年6月在首都医科大学宣武医院胸外科治疗的36例巨大纵隔肿瘤患者的病例资料,详细分析其临床表现、外科诊断治疗及预后情况.结果 36例巨大纵隔肿瘤患者,其中男23例、女13例;平均年龄39.2岁.其中良性病变23例,恶性病变13例.手术达到完整切除34例,姑息性切除2例.无围手术期死亡.其中6例出现术后并发症,经治疗后均痊愈出院.随访6个月～7年,良性肿瘤患者均健康存活.恶性肿瘤患者9例出现复发或远处转移,其中7例死亡.结论 外科手术在巨大纵隔肿瘤治疗中起着至关重要的作用,术前明确诊断、准确的手术入路选择及术中精细操作是治疗的关键.巨大良性纵隔肿瘤手术治疗预后良好.Objective The diagnosis and surgical treatment of 36 huge mediastinal tumors were summarized in order to evaluate the effect and safety of the operation.Methods Thirty-six huge mediastinal tumor patients treated in our department from June 2006 to June 2013 were retrospective analyzed,of whom clinical manifestations,diagnosis,surgical treatment and prognosis were carefully collected.Twenty-three cases were men and 13 were women.The average age was 39.2 years old.The pathology turned out to be benign in 23 cases and malignant in 13 cases.Results Complete resection was achieved in 34 cases while palliative resection in 2 cases with no perioperative death.Six cases had developed postoperative complications but all recovered after active treatment.Patients who had been diagnosed with benign tumors were all alive after follow-up periods of 6 months to 7 years.Nine malignat tumor patients developed recurrence or metastasis,including seven deaths.Conclusion Surgery played a vital role in the diagnosis and treatment of huge mediastinal tumors.Preoperative diagnosis,accurate surgical approach and careful operation were the key to successful treatment.Benign huge mediastinal tumors had excellent prognosis with surgery.

关 键 词：纵隔肿瘤 外科手术 预后 

分 类 号：R734.5[医药卫生—肿瘤]