| 肺癌术前常规纵隔淋巴结外科分期的临床价值 |
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| 引用本文： | 徐烨,申屠阳,郑敏,郭明.肺癌术前常规纵隔淋巴结外科分期的临床价值[J].中国肺癌杂志,2010,13(6). |
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| 作者姓名： | 徐烨 申屠阳 郑敏 郭明 |
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| 作者单位： | 1. 上海市长宁区中心医院胸外科,上海,200336
2. 上海市胸科医院/上海市肺部肿瘤临床医学中心胸外科,上海,200030 |
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| 摘 要： | 背景与目的 探讨肺癌术前常规纵隔淋巴结外科分期的临床价值.方法 76例肺癌患者开胸术前常规行纵隔淋巴结活检,以术后病理为金标准,比对术前胸部CT和纵隔镜对肺癌纵隔淋巴结转移的诊断效能.结果 术前胸部CT对纵隔淋巴结转移的诊断敏感性、特异性、准确性、阳性预测值和阴性预测值分别为68.5%、66.7%、68.4%、84.6%和16.7%.纵隔镜检查术则分别为87.5%、100%、84.2%、100%和60%.结论 肺癌术前常规纵隔镜检查术对纵隔淋巴结分期的优势明显,具有极高的临床实用价值.
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| 关 键 词： | 肺肿瘤 分期 计算机断层显像 纵隔镜检查术 |
The Clinical Value of Routine Preoperative Surgical Staging to Mediastinal Lymph Nodes on Lung Cancer |
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| Ye XU,Yang SHENTU,Min ZHENG,Ming GUO.The Clinical Value of Routine Preoperative Surgical Staging to Mediastinal Lymph Nodes on Lung Cancer[J].Chinese Journal of Lung Cancer,2010,13(6). |
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| Authors: | Ye XU Yang SHENTU Min ZHENG Ming GUO |
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| Institution: | Ye XU1,Yang SHENTU2,Min ZHENG1,Ming GUO1 1Department of Thoracic Surgery,Shanghai Changning District Central Hospital,Shanghai 200336,China,2Shanghai Chest Hospital/Shanghai Lung Tumor Clinical Medical Center,Shanghai 200330 |
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| Abstract: | Background and objectiveThe aim of this study is the clinical value of preoperative routine surgical staging to mediastinal lymph nodes on lung cancer. Methods Seventy-six cases underwent lymph nodes biopsy with medias-tinoscopy. The diagnostic efficacy of thoracic CT scan and mediastinoscopy on mediastinal lymph nodes metastasis were compared.Results The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of thoracic CT scan and mediastinoscopy on diagnosing media... |
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| Keywords: | Lung neoplasms Stage Computer tomography Mediastinoscopy |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
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