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目的探讨外科手术治疗纵膈肿瘤的临床疗效。方法23例纵膈肿瘤患者均在全麻下进行手术治疗。结果有2例切开后肿瘤与周围组织、血管粘连无法切除取活检后证实为恶性肿瘤,手术后14 d内死亡。另外21例肿瘤全部切除,1例胸腺瘤患者并发肌无力经处理后康复,随访3~22个月无复发和死亡病例。结论外科手术治疗纵隔肿瘤疗效确切,是治疗该病的首选方法。
Objective To investigate the clinical efficacy of surgical treatment of mediastinal tumors. Methods Twenty-three patients with mediastinal tumor underwent surgery under general anesthesia. Results There were 2 cases with tumor and the surrounding tissue after incision. The vascular adhesions could not be removed. After biopsy, the tumor was confirmed as malignant tumor and died within 14 days after operation. In addition, all 21 tumors were resected. One patient with thymoma complicated with myasthenia gravis recovered after treatment, and no recurrence or death occurred within 3 to 22 months of follow-up. Conclusion Surgery for the treatment of mediastinal tumors is effective and is the first choice for the treatment of this disease.