纵隔血管淋巴管瘤的诊断和外科治疗

目的 总结原发性纵隔血管瘤及淋巴管瘤的诊断和外科治疗.方法 收集解放军总医院1998年1月至2009年1月问收治的原发性纵隔血管瘤及淋巴管瘤患者的病历资料,提取相关临床数据,对其进行回顾性分析.结果 全组共11例患者,男7例、女4例,年龄4～78岁,平均38.9岁.6例无自觉症状,多数患者术前未能获得准确诊断.全组患者均接受手术治疗,手术完全切除10例,大部分切除1例,发生术后并发症2例.标本均经病理证实,5例血管瘤,3例淋巴管瘤,3例血管淋巴管瘤.结论 本病一经诊断应该尽早手术治疗,手术应尽可能彻底切除以防止复发.

Abstract：

Objective To review the experience of diagnosis and surgical treatment of the primary mediastinal hemangioma and lymphangioma.Methods We summarized the medical records of patients with primary mediastinal hemangioma or lymphangioma at our hospital from January 1998 to January 2009,then extracted relevant clinical data and carried out the retrospective analysis.Results There were 11 patients in the whole group.The age range was 4-78 years old(average:38.9).Six patients were symptom-free and most patients had not an accurate preoperative diagnosis.All patients underwent surgical procedures.The radical excision wag accomplished in 10 cases and incomplete excision in 1 case.Two cases of surgically related complications were observed.All the cases were diagnosed by postoperative histopathological examination.There were hemangioma(n=5),lymphangioma(n=3)and hematolymphangioma(n=3).Conclusions The operation should be performed once the diagnosis of hemangioma or lymphangioma is made.Radical excision should be performed to prevent a post-operative recurrence.

Diagnosis and surgical treatment for mediastinal hemangioma and lymphangioma

Objective To review the experience of diagnosis and surgical treatment of the primary mediastinal hemangioma and lymphangioma.Methods We summarized the medical records of patients with primary mediastinal hemangioma or lymphangioma at our hospital from January 1998 to January 2009,then extracted relevant clinical data and carried out the retrospective analysis.Results There were 11 patients in the whole group.The age range was 4-78 years old(average:38.9).Six patients were symptom-free and most patients had not an accurate preoperative diagnosis.All patients underwent surgical procedures.The radical excision wag accomplished in 10 cases and incomplete excision in 1 case.Two cases of surgically related complications were observed.All the cases were diagnosed by postoperative histopathological examination.There were hemangioma(n=5),lymphangioma(n=3)and hematolymphangioma(n=3).Conclusions The operation should be performed once the diagnosis of hemangioma or lymphangioma is made.Radical excision should be performed to prevent a post-operative recurrence.