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本文报告了我院自1965年9月～1997年12月手术治疗纵隔肿瘤118例，完全切除105例，部分切除5例，探查8例，切除率为89％。本组以胸腺瘤最为多见（55例占46．6％），其次为神经源性肿瘤（23例占19．5％）及畸胎类肿瘤（14例占11．9％）。全组无死亡。文中总结了胸腺癌并发重症肌无力的围手术期处理，讨论了巨大纵隔肿瘤手术特殊情况的对策，对半蛤壳状切口在前上纵隔肿瘤切除术中的应用进行了探讨。
This article reports that in our hospital from September 1965 to December 1997, surgical treatment of mediastinal tumors in 118 cases, complete resection in 105 cases, partial resection in 5 cases, exploration in 8 cases, the resection rate was 89%. The most common thymoma in this group (55 cases accounted for 46.6%), followed by neurogenic tumors (23 cases, 19.5%) and teratoma tumors (14 cases, 11.9%). There was no death in the entire group. This paper summarizes the perioperative management of thymic carcinoma complicated with myasthenia gravis, discusses the countermeasures for the special situation of giant mediastinal tumor surgery, and discusses the application of semi-crust-shaped incision in anterior superior mediastinal tumor resection.