摘要
作者对２２例经胸部ＣＴ或ＭＲＩ检查发现有中纵隔肿物而一般检查不能确诊的患者施行了标准纵隔镜检查术（ＳＣＭ），全部患者均获得明确的病理诊断。其中恶性疾病占４５．５％（１０／２２），良性病变占５４．５％（１２／２２）。恶性疾病中以小细胞未分化癌最为多见，占６０％（６／１０）；良性病变中淋巴结结核最为多发，占７５％（９／１２）。作者复习了纵隔镜发展的历史，并对手术适应证和注意事项进行了讨论。
AbstractBetween 1991 and 1994 standard cervical medi-astinoscopy(SCM)was performed in 22 patients withenlarged middle mediastinal nodes of unknown causes.The pathologic diagnoses were achieved in all patients.Malignancies were found in 45.5%of the patients(10/22)and benign lesions in 54.5%(12/22).An erro-neous diagnosis and hence inappropriate treatmentwere avoided. In our experience correct diagnosis canbe made bv mediastinoscopy in cases of middle medi-astinaI nodes enlargement, which is usually impossibleby routine examination.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第8期510-512,共3页
Chinese Journal of Surgery
