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目的探讨原发性纵隔肿瘤的临床特征和诊疗方法。方法回顾性分析我院2002年1月至2007年10月39例原发性纵隔肿瘤外科诊治的临床资料。结果手术完整切除30例,姑息性切除9例。全组无手术死亡,术后32例获随访,随访3个月～5年。良性肿瘤患者术后均预后良好,恶性肿瘤出现远处转移2例,共3例在术后因肿瘤复发及其并发症而死亡。结论原发性纵隔肿瘤不论是良性还是恶性,只要无明确手术禁忌证均应及早手术,术后综合治疗是影响预后的重要因素。
Objective To explore the clinical features and diagnosis and treatment of primary mediastinal tumors. Methods A retrospective analysis of our hospital from January 2002 to October 2007 39 cases of primary mediastinal tumor surgical diagnosis and treatment of clinical data. Results The complete surgical resection in 30 cases, palliative resection in 9 cases. All patients died without surgery, 32 patients were followed up for 3 months to 5 years. The patients with benign tumor had a good prognosis after surgery, with 2 cases of distant metastasis of malignant tumor, and 3 cases died of tumor recurrence and its complications after operation. Conclusions Primary mediastinal tumors, whether benign or malignant, should be treated as soon as possible without contraindications of definite operation. The comprehensive postoperative treatment is an important factor affecting the prognosis.