摘要
目的探讨恶性纵隔肿瘤的治疗方法及临床疗效。方法选取笔者所在医院院2002年5月～2009年3月收治的50例恶性纵隔肿瘤患者的临床资料,患者均行手术治疗,在手术之前根据患者的体格检查、病史并结合X胸片、胸部CT等进行确诊,本组患者中,行根治性切除35例,行姑息性切除8例,单纯的开胸探查7例,患者在手术之后进行随访1～5年,统计患者的1年、3年、5年生存率。结果术后有1例患者因为呼吸衰竭院内死亡。随访1年38例患者生存,生存率为77.56%,随访3年,生存患者18例,生存率36.73%,随访5年,生存患者10例,生存率20.41%。结论临床治疗原发纵隔肿瘤,首选方法是手术治疗,对于不能完全切除或者不能切除的患者在手术之后进行化疗和放疗,可以提高患者的生存率。
Objective To explore the malignant mediastinal tumor therapy and clinical curative effect. Methods Select hospital May 2002 -2009 March of 50 patients with malignant mediastinal tumors of the clinical data of surgical treat- ment, patients before surgery, in the physical examination, according to patients with X radiograph, history and chest CT etc, in patients with diagnosis group 35 case, radical excision palliative resection in 8 cases, pure open thoracic exploration in 7 cases, patients after surgery were followed up 1 -5 years, with 1 year, statistics for 3 years, and 5 - year survival rate. Re- stilts After 1 patients because of respiratory failure nosocomial death. 38 patients were followed up for 1 year survival rate for survival, 77.56% followup of 3 years, 18 cases of patients with survival, 36. 73% survival, follow -up, patients with 5 years survival 10 eases, 20.41% surial. Conclusiou Clinical treatment of primary mediastinal tumor, the preferred method for surgery is not complete resection, or in patients with unresectable after the surgery, chemotherapy and radiation can improve survival.
出处
《中国医学创新》
CAS
2010年第34期20-21,共2页
Medical Innovation of China
关键词
原发性恶性纵隔肿瘤
手术切除
化疗
放疗
Primary malignant mediastinal tumor
Surgical resection
Chemotherapy
Radiotherapy
