| 手术治疗原发性纵隔肿瘤118例报告 |
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| 引用本文： | 李志平 范士志. 手术治疗原发性纵隔肿瘤118例报告[J]. 重庆医学, 1998, 27(3): 153-154 |
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| 作者姓名： | 李志平 范士志 |
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| 作者单位： | 第三军医大学大坪医院胸心外科!重庆，400042(李志平，范士志，蒋耀光，向杰，陈建明，吴旭)，第 (赵云平) |
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| 摘 要： | 本文报告了我院自１９６５年９月￣１９９７年１２月手术治疗纵隔肿瘤１１８例，完全切除１０５例，部分切除５例，探查８例，切除率为８９％，本组以胸腺瘤最为多见（５５例占４６．６％），其次为神经源性肿瘤（２３例占１９．５％）及畸胎类肿瘤（１４例占１．９％），全组无死亡。文中总结了胸腺瘤并发重症肌无力的围手术期处理，讨论了巨大纵隔肿瘤手术特殊情况的对策，对半蛤壳状切顺前上纵隔肿瘤切除术中的应用进行了探讨。
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| 关 键 词： | 纵隔肿瘤 半哈壳状切口 外科手术 |
Surgical Treatment of Primary Mediastinal Tumors(A report of 118 cases) |
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| Li ZhiPing, Fan Shizhi, Jiang Yaoguang.et al.. Surgical Treatment of Primary Mediastinal Tumors(A report of 118 cases)[J]. Chongqing Medical Journal, 1998, 27(3): 153-154 |
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| Authors: | Li ZhiPing Fan Shizhi Jiang Yaoguang.et al. |
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| Affiliation: | Department of Thoracic Surgery of Daping Hospital Third Military Medical University. Chongqing 400042 |
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| Abstract: | This paper reports the results of surgical trcatment of primary mediastinal tumors in 118 cases in our department from Sept 1965 to Dec 1997. In this group, 105 cases were performed radical excision (89%) and there were 55 thymomas (46. 6%), 23 neurogenic tumors (19.5% ),14 teratoblastoma (11.9% ), 10 bronchial cysts (8. 5%) and 16others (13.6). The nature of these tumors was proved by operation and pathology in all patients. In this group,there was no death postoperatively. The periopcrative management of the thymoma with myasthenia gravis,the surgical policy of giant mediastinal tumors and the application of hemiclamshcll incision in the anterior-supcrior mediastinal tumors are discussed in the paper |
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| Keywords: | Mediastinal tumors Surgical treatment Hemiclamshell incision |
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