west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword " 纵隔" 4 results
  • 后纵隔原始神经外胚层肿瘤一例

    Release date:2016-08-30 05:28 Export PDF Favorites Scan
  • Clinical Analysis of Therapeutic Video-mediastinoscopy for Thoracic Disease

    Objective To assess clinical outcomes of therapeutic video-mediastinoscopy (VMS). Methods Clinical data of 82 patients undergoing VMS in Zhongshan Hospital of Dalian University from December 2008 to October 2011 were retrospectively analyzed. Among them,24 patients received therapeutic VMS,including 18 men and 6 women with their median age of 56 (22-81) years. Three patients underwent operation through a neck incision,4 patients through a parasternal incision,and 17 patients through a lateral intercostal incision. Five patients received local anesthesia and basal anesthesia,and all the other patients received general anesthesia through single-lumen or double-lumen endotracheal intubation. Results Twelve patients with pleural effusion underwent pleural or lung biopsy and talc pleurodesis. Pathology examination showed malignant diseases in 11 patients and tuberculous pleural effusion in 1 patient. The median operation time was 35 (30-50) minutes,and postoperative hospital stay was 3-6 days. These patients were followed up for 1 month without recurrence of pleural effusion. Ten patients with mediastinal mass received pathological diagnosis and complete mass resection with their median operation time of 55 (30-270) minutes and median hospital stay of 7 (5-40) days. Two patients with hyperhidrosis underwent bilateral intercostal VMS sympathectomy. Their operation time was 60 minutes and 50 minutes respectively,and their hospital stay was 3 days. Postoperatively their sweating symptoms obviously resolved. They were followed up for 3 months,and their hands,feet and armpit were warm and dry. There was no in-hospital death in this group. Two patients (8.3%) had postoperative complications including 1 patient with phrenic nerve injury and another patient with pneumonia. Opioid analgesic drugs were not used postoperatively in 9 patients. Conclusion Therapeutic VMS is a safe,effective,minimally invasive and cosmetic procedure,but it is not suitable for resection of a large mediastinal mass.

    Release date:2016-08-30 05:46 Export PDF Favorites Scan
  • 全胸腔镜下纵隔良性肿瘤切除术22例

    Release date:2016-08-30 05:47 Export PDF Favorites Scan
  • 电视纵隔镜在胸部疾病诊断与治疗中的应用

    摘要:  目的 探讨电视纵隔镜在胸部疾病诊断和治疗中的应用价值, 总结其临床经验。 方法 对2006 年3 月至2007 年5 月开展的47 例电视纵隔镜手术资料进行回顾性分析, 其中经颈部纵隔镜手术38 例, 左胸纵隔镜手术8 例,右胸纵隔镜手术1 例。 结果 本组手术时间10~ 100m in, 平均44. 2min; 术中出血5~ 200ml, 平均33. 5ml 。肺癌术前分期12 例, 纵隔淋巴结病理检查阴性4 例, 阳性8 例, 均与开胸手术后检查结果相符, 其敏感性、特异性、准确性均为100%。纵隔疑难疾病诊断31 例, 经过纵隔镜手术后30 例(96. 8%) 明确诊断, 其中恶性肿瘤16 例, 分别为纵隔转移性肿瘤8 例、纵隔淋巴瘤3 例, 恶性纤维组织细胞瘤、食管鳞状细胞癌、促纤维组织增生性小圆细胞肿瘤、胸腺类癌、淋巴上皮癌各1 例; 良性疾病14 例, 分别为结节病8 例、慢性淋巴结炎4 例、纵隔淋巴结结核2 例。纵隔镜辅助纵隔或肺部病变切除4 例, 均顺利完成手术。本组手术无死亡及严重并发症发生, 均治愈出院。 结论 电视纵隔镜手术安全、可靠,可作为纵隔疑难疾病诊断和鉴别诊断的有效方法以及肺癌术前分期的金标准。

    Release date:2016-08-30 06:08 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content