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目的:探讨巨大纵隔肿瘤的诊断、治疗方法及其疗效。方法:分析手术治疗14例巨大纵隔肿瘤的临床资料。结果:14例中完整切除9例,部分切除5例。1例术后出现急性肺水肿,2例术后出现呼吸衰竭,均治愈,无围手术期死亡。术后随访半年至8年,良性肿瘤术后疗效好,恶性者术后主要死于复发及远处转移。结论:选择合适的麻醉和手术方式治疗巨大纵隔肿瘤效果肯定,术中可选择分块或整块切除,防止避免大出血和复张性肺水肿。恶性者术后辅助化疗和(或)放疗以减少复发。
Objective: To explore the diagnosis, treatment and treatment of huge mediastinal tumor. Methods: The clinical data of 14 cases of giant mediastinal tumors treated by surgery were analyzed. Results: In 14 cases, 9 cases were completely resected and 5 cases partially resected. One patient had acute pulmonary edema and two patients had respiratory failure after operation. All patients were cured without perioperative death. Postoperative follow-up of six to eight years, the good effect of benign tumor surgery, malignant mainly died of recurrence and distant metastasis after surgery. Conclusion: Choosing the appropriate anesthesia and operation for the treatment of huge mediastinal tumor is effective. The operation can be divided into blocks or block to prevent hemorrhage and recurrent pulmonary edema. Malignant postoperative adjuvant chemotherapy and / or radiotherapy to reduce recurrence.