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目的总结32例巨大纵隔肿瘤的诊断要点及外科治疗经验。方法总结2000年至2009年在北京协和医院胸外科住院并行手术治疗的32例巨大纵隔肿瘤患者的临床资料并进行文献复习,详细分析该病的临床表现、诊断及外科治疗方法。结果 32例患者均成功进行手术治疗。其中肿瘤完整切除25例,大部切除7例。切除肿瘤同时行部分心包切除5例,肺楔形切除5例,肺叶切除1例。32例患者无围手术期死亡。结论手术是巨大纵隔肿瘤主要治疗方法。术前明确诊断与手术方式的选择尤为重要,诊断主要依靠X线、B超和CT。正确选择合适的切口和手术技巧是治疗成功的关键。
Objective To summarize the diagnosis and surgical treatment of 32 cases of giant mediastinal tumor. Methods The clinical data of 32 patients with giant mediastinal tumors who underwent surgery in Beijing Union Medical College Hospital from 2000 to 2009 were reviewed and reviewed. The clinical manifestations, diagnosis and surgical treatment of the patients were analyzed in detail. Results 32 patients were successfully operated on. Among them, 25 cases were completely resected and 7 cases were mostly resected. Resection of the tumor at the same time part of the pericardial resection in 5 cases, 5 cases of pulmonary wedge resection, lobectomy in 1 case. 32 patients without perioperative deaths. Conclusion Surgery is the main treatment for huge mediastinal tumors. Preoperative diagnosis and surgical options are particularly important, the diagnosis depends mainly on X-ray, B ultrasound and CT. Correct choice of appropriate incision and surgical technique is the key to successful treatment.