74例电视纵隔镜临床应用
陈野野;李单青;秦应之;黄诚;李力;
摘要(Abstract):
目的探讨电视纵隔镜手术在诊治胸部疾病及行肺癌分期的临床应用价值。方法回顾性分析北京协和医院2006年12月至2012年12月间行电视纵隔镜手术的74例患者,其中男性41例,女性33例,平均年龄(49.1±14.6)岁(15~77岁)。均在全身麻醉下完成手术,其中经颈部入路71例,经胸骨旁入路3例。结果 1例为脓肿引流,另73例成功取得或切除目标组织,最终病理结果包括肺癌纵隔淋巴结转移20例、结节病21例、结核12例、淋巴瘤5例、淋巴结反应性增生9例、恶性胸腺肿瘤2例,其他诊断4例。手术平均时间58 min,术中出血2例,均成功压迫止血,无死亡病例。结论纵隔镜技术安全有效,对明确纵隔肿物性质以及肺癌分期具有重要价值,是某些疑难疾病获得病理诊断的最佳途径。
关键词(KeyWords):
纵隔镜;电视辅助手术;肺癌分期
基金项目(Foundation):
作者(Author):
陈野野;李单青;秦应之;黄诚;李力;
Email:
DOI:
参考文献(References):
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