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原发性纵隔肿瘤的诊断及外科治疗(附138例报告)
引用本文:李晋南,何学志,苏金林,郭德和.原发性纵隔肿瘤的诊断及外科治疗(附138例报告)[J].宁夏医科大学学报,1999(3).
作者姓名:李晋南  何学志  苏金林  郭德和
作者单位:宁夏医学院附属医院胸心外科
摘    要:目的:报告138例原发性纵隔肿瘤的诊断及外科治疗的经验和体会。方法:经胸部X线平片及CT诊断为原发性纵隔肿瘤138例,均行外科手术并做病理组织检查。结果:138例术后病检:畸胎类肿瘤39例,胸腺肿瘤44例,神经源性肿瘤29例,纵隔囊肿11例,胸骨后甲状腺肿5例,其它纵隔肿瘤10例。手术完全切除130例,姑息切除1例,切除率949%,手术未能切除7例,手术后死亡2例。结论:胸部X线平片和CT是诊断原发性纵隔肿瘤的主要手段和方法。外科手术治疗宜及早进行

关 键 词:原发性纵隔肿瘤  诊断  外科治疗

Diagnosis and Surgical Treatment of Primary Mediastinal Tumors (A Report of 138 Cases)
Li Jinnan,He Xuezhi,Su Jinling.Diagnosis and Surgical Treatment of Primary Mediastinal Tumors (A Report of 138 Cases)[J].Journal of Ningxia Medical College,1999(3).
Authors:Li Jinnan  He Xuezhi  Su Jinling
Abstract:Objective:Experiences of diagnosis and surgical treatment of primary mediastinal tumors in 138 were reported.Methods: All 138 primary mediastinal tumors were preoperatively diagnosed by chest X-ray and CT and postoperatively diagnosed by histopathology.Results:Among the 138 cases,teratoma was seen in 39 cases,thymoma in 44 cases,neurogenic tumors in 29 cases,mediastinal cyst in 11 cases,parathyroidoma at the back of sternum in 5 cases,mediastinal cyst in 11 cases and other mediastinal tumors in 10 cases.Tumors were resected totally in 130 cases,and only one was resected partially.The resection rate was 94.9%.7 cases were not resected.2 cases died after operation.Conclusion:Chest X-ray and CT are major diagnostic method for primary mediastinal tumors.Surgical treatment should be taken as early as possible.
Keywords:primary mediastinal tumor  diagnosis  surgical treatment
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