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目的探讨电视胸腔镜手术治疗纵隔淋巴结结核的适应证及手术方法。方法回顾性分析武汉市医疗救治中心2010年1月至2013年3月间收集的27例胸腔镜手术治疗纵隔淋巴结结核的临床资料,男16例、女11例,年龄18~67(30.23±10.72)岁,均行胸腔镜下纵隔淋巴结结核病灶清除术。结果无手术死亡病例,术后并发喉返神经损伤、伤口愈合不良、气胸各1例。术后继续行抗结核治疗,随访6个月,全组27例均能从事正常体力活动。结论电视胸腔镜手术治疗纵隔淋巴结结核安全、可靠,手术前后均应注意抗结核治疗。
Objective To investigate the indications and surgical methods of video-assisted thoracoscopic surgery for mediastinal lymph node tuberculosis. Methods A retrospective analysis of clinical data of 27 cases of mediastinal lymphadenopathy treated by thoracoscope collected in Wuhan Medical Center from January 2010 to March 2013 was performed. There were 16 males and 11 females, aged from 18 to 67 (30.23 ± 10.72 ) Years old, underwent thoracoscopic mediastinal lymph node tuberculosis removal. Results No cases of surgical death, recurrent laryngeal nerve injury, poor wound healing, pneumothorax in 1 case. Postoperative anti-tuberculosis treatment, follow-up of 6 months, the whole group of 27 cases were able to engage in normal physical activity. Conclusion Video-assisted thoracoscopic surgery for the treatment of mediastinal lymph node tuberculosis is safe and reliable. Anti-TB therapy should be taken before and after surgery.