论文部分内容阅读
目的:分析纵膈肿瘤的临床特点,探讨外科治疗纵膈肿瘤的临床疗效。方法:对2008—2011年间行外科手术治疗纵膈肿瘤患者的临床资料进行回顾性分析。结果:良性肿瘤50例,恶性3例,均行外科手术切除,手术时间60～180min,平均85min,术中出血80～500mL,平均出血260mL。术后8例患者出现并发症,并发症发生率为15.1%,经强心、利尿及抗感染等对症治疗后痊愈。术后随访18个月,1例恶性肿瘤患者复发,复发后2个月内死亡,3例良性肿瘤患者术后病情复发,行二次手术,余下患者病情恢复良好。结论:及时的诊断,合理的手术切口和方式的选择是外科治疗纵膈肿瘤的关键。
Objective: To analyze the clinical features of mediastinal tumors and discuss the clinical effect of surgical treatment of mediastinal tumors. Methods: The clinical data of patients with mediastinal tumor treated by surgery between 2008 and 2011 were retrospectively analyzed. Results: There were 50 benign tumors and 3 malignant tumors. Surgical resection was performed. The operation time was 60 ~ 180min with an average of 85min. The hemorrhage was 80 ~ 500mL and the average bleeding was 260mL. Postoperative complications occurred in 8 patients, the complication rate was 15.1%, after cardiac, diuretic and anti-infective symptomatic treatment recovered. After 18 months of follow-up, one patient with malignant tumor recurred and died within 2 months after recurrent. Three patients with benign tumor recurred after operation, and underwent secondary surgery. The remaining patients recovered well. Conclusion: Timely diagnosis, rational surgical incision and the choice of the way are the key to surgical treatment of mediastinal tumors.