巨大纵隔肿瘤的外科治疗

目的回顾总结28例巨大纵隔肿瘤的诊断要点及外科治疗经验.方法对1980～2002年收治的28例巨大纵隔肿瘤的临床资料进行回顾分析.结果28例中全部切除23例姑息性切除5例,其中肺楔形切除2例,肺叶切除1例,部分心包切除5例,上腔静脉成形1例,无手术死亡.结论胸部X线、CT及B超是巨大纵隔肿瘤诊断的重要手段;麻醉时体位及手术切口的选择、术中操作技术注意可提高手术的安全性及切除率,应注意创面渗血及复张性肺水肿的防治.

Surgical treatment of giant mediastinal tumor

Objective To review the experience of diagnosis and surgical treatment of 28 cases with giant mediastinal tumor.Methods The clinical data of 28 cases with giant mediastinal tumor were restroperctively analysized in our hospital from 1980 to 2002.Results Of the 28 cases,tumor of 23 cases had been successfully removed; 5 cases had been conducted palliative operation.Of 28 cases,wedge excision of pulmonary in 2 cases,lobectomy of lung in 1 case,partical pericardia excision in 5 cases,the superior vena cava plasty in 1case, no one died.Conclusion Besides X-ray,B-US and CT shoud be important preoperative diagnostic methods,body posture during induction anesthesia and the choice of the operation incision and surgical skill during operation can improve surgical safty and the rate of incision.Oozing of blood from the wound surface and additionally dilatant pneumoedema should be prevented and treated.