摘要
目的：总结７年间手术治疗的７０例恶性胸腺肿瘤的经验。方法：按肿瘤大小及位置分别采用正中劈胸骨切口和（或）后外侧切口、前外侧切口施术。结果：由于胸腺的特殊解剖位置，当发生恶性肿瘤时极易发生心包及前纵隔大血管浸润，术中难以将肿瘤完整切除，大血管上常有肉眼能见的肿瘤浸润残留，能够完整切除者常需合并大血管部分切除。但从疗效看，肿瘤有残留组术后追加放射治疗，其１年、３年生存率仅略低于完整切除组而明显高于单纯探查组（Ｐ＜０．０１）。结论：恶性胸腺肿瘤手术的原则是既使不能完整切除肿瘤也应尽量将可切除部分切除。
Aim:To review the experience of surgical treatment for malignant thymoma.Clinical material and method:Seventy patients with malignant thymoma were treated surgically.There were 41 males and 29 females with a mean age of 41.5 years.The operation were done through median sternotomy in 50 cases,median sternotomy plus anterior thoracotomy in 6,posterior thoracotomy in 8 and anterior thoracotomy in 6.Results:Surgical procedures included exploration in 10,palliative resection in 19 and radical resection in 41.The 3 year survival rate was 10% for exploration group,52% for palliative resection group and 57% for radical resection group.Conclusion:The long term survival rates in both radical resection group and palliative resection group are much better than in exploration group.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1999年第4期216-217,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
