电视纵隔镜在胸部疾病诊断和治疗中的价值

目的：探讨电视纵隔镜在胸部疾病诊断和治疗中的价值。方法：回顾性总结2002年10月～2004年6月纵隔镜诊疗患者58例，其中纵隔镜诊断术组48例，纵隔镜治疗术组10例。纵隔镜诊断术组有40例患者行标准的纵隔镜检查术，8例行扩大的纵隔镜检查术。纵隔镜治疗术组有9例手汗症患者行胸交感神经切断术，1例行心包脂肪瘤切除。结果：纵隔镜诊断术组47例获得病理诊断(97．9％)，发生并发症4例(8．3％)：纵隔镜治疗术组无并发症发生，所有患者痊愈出院。结论：电视纵隔镜手术不仅是肺癌诊断、分期和纵隔肿瘤诊断的重要手段，而且也可以用于治疗手汗症、心包脂肪瘤和囊肿等部分胸部疾病。

Clinical value of video-mediastinoscopy in the diagnosis and treatment of intrathoracic diseases

Purpose:Discuss the clinicat value of video-mediastinoscopy in the diagnosis and treatment of intrathoracic diseases. Methods:From Oct.2002 to Jun.2003, 58 cases were examined and treated by video-mediastinoscopy. Of these patients,48 case were examined(the examination group) and 10 cases were treated(the treatment group). In the examination group, standard mediastinoscopy was applied in 40 cases, extended mediastinoscopy was applied in 8 cases. In the treatment group,9 cases of palmar hyperhidrosis were treated by thoracic sympathectomy,1 case of pericardial liparomphalus was resected. Results:In the examination group, 47 cases obtained definite pathological diagnoses, and 5 cases had complications. In the treatment group,no complications occurred. Conclusions:Video-mediastinoscopy is a valuable procedure to clarify diagnosis and to stage lung cancer, or in the diagnosis of mediastinal mass. It can also be used in the treatment of palmar hyperhidrosis, pericardial liparomphalus and pericardial cyst.