CAJ | 학술논문

目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.
목적 총결거대종격종류외과진단치료적경험,평개수술안전성급료효.방법 회고성분석2006년6월지2013년6월재수도의과대학선무의원흉외과치료적36례거대종격종류환자적병례자료,상세분석기림상표현、외과진단치료급예후정황.결과 36례거대종격종류환자,기중남23례、녀13례;평균년령39.2세.기중량성병변23례,악성병변13례.수술체도완정절제34례,고식성절제2례.무위수술기사망.기중6례출현술후병발증,경치료후균전유출원.수방6개월～7년,량성종류환자균건강존활.악성종류환자9례출현복발혹원처전이,기중7례사망.결론 외과수술재거대종격종류치료중기착지관중요적작용,술전명학진단、준학적수술입로선택급술중정세조작시치료적관건.거대량성종격종류수술치료예후량호.
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.