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目的 探讨电视纵隔镜检查术在肺癌的术前分期、纵隔肿物、恶性胸腔积液诊治的应用。方法 本组 34例 ,19例行颈部纵隔镜术 ,7例胸骨旁纵隔镜检查术 ,8例行径肋间纵隔镜术。结果 确诊为腺癌 10例 ,转移性低分化鳞癌 6例 ,胸腺鳞状细胞癌 3例 ,胸腺瘤 3例 ,小细胞癌 1例 ,非霍奇金淋巴瘤2例 ,神经母细胞瘤 2例 ,原始神经外胚叶肿瘤 1例 ,结核 2例 ,炎症 1例 ,反应性增生 1例。 2例术前纤支镜病理确诊左下肺鳞癌 ,电视纵隔镜检查右气管旁淋巴结转移。结论 电视纵隔镜术不但是肺癌术前病理分期、纵隔疾病的重要检查方法 ,还可作为纵隔肿瘤和恶性胸腔积液诊治的方法之一
Objective To investigate the application of video mediastinoscopy in the diagnosis and treatment of lung cancer preoperative staging, mediastinal mass, and malignant pleural effusion. Methods In this group of 34 patients, 19 patients underwent cervical mediastinoscopy, 7 patients underwent parasternal septal microscopy, and 8 patients underwent intercostal mediastinoscopy. The results were confirmed as adenocarcinoma in 10 cases, metastatic poorly differentiated squamous cell carcinoma in 6 cases, thymic squamous cell carcinoma in 3 cases, thymoma in 3 cases, small cell carcinoma in 1 case, non-Hodgkin’s lymphoma in 2 cases, and neuroblastoma 2 In one case, there were 1 case of primitive neuroectodermal tumor, 2 cases of tuberculosis, 1 case of inflammation, and 1 case of reactive hyperplasia. Two cases of preoperative bronchoscopy confirmed the diagnosis of left lower squamous cell carcinoma and video mediastinoscopy examined right paratracheal lymph node metastasis. Conclusion Video mediastinoscopy is not only an important method for pathological staging and mediastinal diseases of lung cancer, but also can be used as a method for the diagnosis and treatment of mediastinal tumors and malignant pleural effusions.