摘要
目的 探讨纵隔镜在纵隔肿物诊断中的价值。方法 采用标准的纵隔镜检查术和扩大的纵隔镜检查术 ,对胸部CT等检查发现的纵隔肿物实施检查 ,获取气管周围、胸骨后、隆凸下以及双侧肺门等部位的肿物组织送病理检查。结果 6 0例患者中 ,有 5 8例获得明确的病理诊断。其中恶性病变占 5 1.7% (30 / 5 8) ,良性病变占 48.3% (2 8/ 5 8)。恶性病变中以小细胞未分化癌为多见 ,占恶性病变的 36 .7% (11/ 30 ) ;其次为恶性淋巴瘤、转移性腺癌、转移性鳞癌等。良性病变中以淋巴结结核为多见 ,占良性病变的 5 7.1% (16 / 2 8) ;其次为结节病等。采用标准纵隔镜检查术的病例占 93.3% (5 6 /6 0 ) ,获取肿物组织以 2R区和 4R区为最多 ,占 86 .7% (5 2 / 6 0 )。结论 纵隔镜检查术是一种有价值的检查手段 ,可使一般常规检查难于确诊的纵隔肿物获取明确的病理诊断 。
Objective To study the value of mediastinoscopic examination in the accurate diagnosis of mediastinal mass.Methods Standard cervical mediastinoscopy (SCM) or extended mediastinoscopy was applied to patients with mediastinal mass on chest CT or MRI, in order to obtain suspicious tissues at peritracheal, retrosternal, subcarinal, or bilateral hilar areas for pathological study.Results Of 60 cases in this series, 58 got definite pathological diagnoses. Of the 58 cases, 30 were diagnosed as malignancies, accounting for 51.7% of the cases examined. Twenty eight of the 58 were diagnosed as benign accounting for 48.3% of them. Small cell undifferentiated carcinoma was the most common type of malignancy, followed by lymphoma, metastatic adenocarcinoma and squamous cell carcinoma in decreasing frequencies. Over one half of the patients with benign lesions were tuberculosis, followed by sarcoidosis. In this series, 93% of the cases received SCM examination. The most common sampling sites were 2R and 4R areas.Conclusion Mediastinoscopy is a valuable procedure which helps clarify diagnosis of mediastinal mass.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2000年第3期238-240,共3页
Chinese Journal of Oncology
关键词
纵隔肿瘤
诊断
纵隔镜检查
病例报告
Mediastinal neoplasms/diagnosis
Mediastinal neoplasms/surgery
Mediastinoscopy
