中纵隔肿瘤九例临床诊疗分析  

Surgical treatment of middle mediastinal tumor:A report of 9 cases

作　　者：高轶[1] 王天来 付圣灵[1] 蔡奕欣[1] 樊晓武 付向宁[1] GAO Yi;WANG Tianlai;FU Shengling(Department of Thoracic Surgery,Tongji Hospital,Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]华中科技大学附属同济医院胸外科,430030

出　　处：《临床外科杂志》2023年第3期243-246,共4页Journal of Clinical Surgery

基　　金：国家自然科学基金青年科学基金项目(82003049)。

摘　　要：目的总结中纵隔肿瘤的病理特点和手术经验。方法2018~2022年我院胸外科行手术治疗的中纵隔肿瘤病人9例,8例行根治性手术切除,1例行纵隔肿瘤活检术。其中5例行胸腔镜手术,4例行开放手术。结果9例病人的病理类型中,2例为纵隔囊肿,1例为Castleman病,1例为下咽癌纵隔淋巴结转移,1例为神经鞘瘤,1例为神经纤维瘤,1例为副神经节瘤,1例为血管脂肪瘤,1例为未分化癌。所有人均康复出院。结论手术切除是中纵隔肿瘤的重要治疗手段。手术治疗既要追求切除的彻底性,还要注重器官保护。Objective To review the experience approaching middle mediastinal mass by surgery.MethodClinical data of 9 patients with middle mediastinal mass who were treated in between 2018 to 2022 in Tongji hospital were retrospectively analyzed.8 cases underwent radical resection and 1 case underwent mediastinal tumor biopsy.5 mediastinal tumors were operated by video-assisted thoracoscopic surgery(VATS),and 4 cases required conversion thoracotomy.Result Histologic diagnosis was mediastinal cysts in 2 cases,Castleman disease in 1 case,metastatic lymphadenopathy in 1 case,neurogenic tumors in 3 cases(Schwannoma in 1 case,Neurofibroma in 1 case,and Paraganglioma in 1 case),angiolipoma in 1 case and undifferentiated malignant tumors in 1 case.All recovered and were discharged from hospital.Conclusion Surgical resection is an important treatment for mediastinal tumors.Surgical treatment should not only pursue the thoroughness of excision,but also pay attention to organ protection.

关 键 词：纵隔肿瘤 中纵隔 手术治疗 电视胸腔镜手术 

分 类 号：R734.5[医药卫生—肿瘤]