中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
11期
1992-1993
,共2页
纵隔肿瘤%纵隔镜
縱隔腫瘤%縱隔鏡
종격종류%종격경
Mediastinal Neoplasms%Mediastinoscopy
目的 探讨Chamberlain手术联合纵隔镜在不明原因的纵隔肿物诊断的价值.方法 采用左前纵隔切开入路,对胸部CT等检查发现的不明原因纵隔淋巴结肿大或纵隔占位尤其是经颈部纵隔镜难以达到的第5、6组淋巴结进行活检术,其中3例同期行心包开窗术.结果 59例患者均获得明确的病理诊断,确诊率达100%.3例心包积液患者同期行心包开窗术效果良好.本组手术时间平均短于1 h,手术出血量少于50 ml,术后平均住院天数为4 d,无手术死亡及术后并发症发生.结论 Chamberlain手术联合纵隔镜对于常规纵隔镜难以到达的第5、6组淋巴结肿大或不明原因的纵隔占位是一种安全有效的诊断手段.
目的 探討Chamberlain手術聯閤縱隔鏡在不明原因的縱隔腫物診斷的價值.方法 採用左前縱隔切開入路,對胸部CT等檢查髮現的不明原因縱隔淋巴結腫大或縱隔佔位尤其是經頸部縱隔鏡難以達到的第5、6組淋巴結進行活檢術,其中3例同期行心包開窗術.結果 59例患者均穫得明確的病理診斷,確診率達100%.3例心包積液患者同期行心包開窗術效果良好.本組手術時間平均短于1 h,手術齣血量少于50 ml,術後平均住院天數為4 d,無手術死亡及術後併髮癥髮生.結論 Chamberlain手術聯閤縱隔鏡對于常規縱隔鏡難以到達的第5、6組淋巴結腫大或不明原因的縱隔佔位是一種安全有效的診斷手段.
목적 탐토Chamberlain수술연합종격경재불명원인적종격종물진단적개치.방법 채용좌전종격절개입로,대흉부CT등검사발현적불명원인종격림파결종대혹종격점위우기시경경부종격경난이체도적제5、6조림파결진행활검술,기중3례동기행심포개창술.결과 59례환자균획득명학적병리진단,학진솔체100%.3례심포적액환자동기행심포개창술효과량호.본조수술시간평균단우1 h,수술출혈량소우50 ml,술후평균주원천수위4 d,무수술사망급술후병발증발생.결론 Chamberlain수술연합종격경대우상규종격경난이도체적제5、6조림파결종대혹불명원인적종격점위시일충안전유효적진단수단.
Objective To evaluate the value of parastemal anterior mediastinaotomy(Chamberlain procedure)with mediastinoscopy in diagnosis of anterior mediastinal mass or enlarged lymph node.Methods By Chamberlain procedure,biopsy was performed in 59 cases with anterior mediastinal mass or enlarged lymph node.All the patients were received CT scan before operation.Results All of 59 patients were made pathologic diagnosis 100% accuracy.Three patients with pericardial effusion underwent pericardial fenestration.All these patients recovered well without complication and death.Average operation time was 50 minutes,mean blood loss was about 50 ml,and average hospital stay after operation was 4 d.Conclusion Parasternal anterior mediastinaotomy(Chamberlain procedure)with mediastinoscopy is a safe and effective method in diagnosis of anterior mediastinal mass or enlarged lymph node.
