摘要
目的:探讨电视纵隔镜检查术在肺癌术前分期、纵隔疾病诊断中的价值。方法:12例纵隔镜均在全麻下行颈入路完成,其中单纯纵隔结节或肿物需要明确诊断者8例,确诊为肺癌伴有纵隔淋巴结肿大需明确临床病理分期者4例。结果:12例经过纵隔镜手术的病例均成功取得需要检测的组织,活检成功率100%。最终病理结果包括结节病5例,肺癌纵隔淋巴结转移3例,结核2例,慢性淋巴结炎1例。结论:电视纵隔镜在纵隔不明原因肿物的诊断和肺癌术前准确分期的临床应用中是一种安全,有效的重要手段。
Objective ： To investigate the value of cervical mediastinoscopy in the diagnosis of mediastinal diseases and the staging of lung cancer before operation. Methods： 12 patients underwent video - assisted mediastinoscopy through neck - way surgery, including 8 cases with sole mediastinal nodule or mass, of which the pathologic diagnosis was warranted; 4 cases diagnosed as lung cancer with enlarged mediastinal lymph nodes, of which the clinical stage needed to be clarified. Results： Satisfied tissue for detailed examination was obtained for all of the 12 cases who underwent mediastinoscopy. The successful rate for biopsy was 100%. The final pathologic diagnosis were 5 cases of sarcoidosis, 3 cases of lymph node metastasis from lung cancer, 2 cases of tuberculosis, 1 cases of the chronic lymph node inflammation. Conclusion ： Video-assisted mediastinoscopy issafe and useful. It＇ s essential for The clinical application on the diagnosis of sole mediastinal mass and clarifying the pathologic stage of patients with lung cancer.
出处
《河南医学研究》
CAS
2009年第3期196-198,共3页
Henan Medical Research
关键词
纵隔镜手术
肿瘤分期
纵隔疾病
mediastinoscopy
neoplasm staging
mediastinal diseases
