原发性纵隔肿瘤及囊肿219例外科治疗分析

对219例经手术和病理检查证实的原发性纵隔肿瘤及囊肿病例进行回顾性分析。结果显示：在病理类型中，以胸腺瘤（占42.0%)、畸胎瘤（占20.1%)神经源性肿瘤（占16.5%）最为常见，三者合计占所有病例的78.5%。重点分析了该类肿瘤的临床特点，病理类型与其在纵隔部位的关系，手术治疗结果及常见的并发症。

Surgical treatment of 219 cases of primary tumor and cyst of the mediastinum]

Two hundred and nineteen patients with primary tumor and cyst in the mediastinum were retrospectively analysed. All patients received surgical treatment and pathologic examination. Results showed that: (1) the commonest mediastinal tumors was the thymoma (42.0%) (2) The second teratoma (20.1%). The incidence of neurogenic tumors was 16.4%. The over-all incidence of these three tumors was 78.5%. A total excision of the tumor was performed in 198 patients; incomplete excision was performed in 18 patients; 3 patients underwent biopsy only. The anatomic locations, clinical manifestations, complication and mortality of surgical treatment of these tumors were analysed.