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目的:探讨电视纵膈镜在纵膈肿物诊断和肺癌分期中的应用价值。方法:2012年4月~2013年4月期间,我院60例纵膈肿物患者,并且术后病理确诊为肺癌,根据随机数字法,将其分为对照组(CT、MRI联合诊断后手术治疗)和观察组(电视纵膈镜诊断、治疗),每组各30例,对2组临床诊断率、手术时间、住院时间、术中出血量、术后并发症,进行观察和比较。结果:与对照组相比,观察组临床诊断率明显升高,手术时间、住院时间、术中出血量、术后并发症均明显减少,P<0.05,差异有统计学意义。结论:电视纵膈镜应用于纵膈肿物诊断和肺癌分期中,能够明显提高临床诊断率,改善患者的预后质量,值得临床推广。
Objective: To investigate the value of mediastinoscopy in the diagnosis of mediastinal masses and the staging of lung cancer. Methods: From April 2012 to April 2013, 60 patients with mediastinal masses in our hospital were diagnosed as lung cancer by pathology. According to the random number method, they were divided into control group (CT, MRI combined with postoperative diagnosis and surgery (Diagnosis and treatment of mediastinoscopy), 30 cases in each group. The clinical diagnosis rate, operation time, hospitalization time, intraoperative blood loss and postoperative complications were observed and compared in two groups. Results: Compared with the control group, the clinical diagnosis rate of the observation group was significantly increased, the operation time, hospital stay, intraoperative blood loss, postoperative complications were significantly reduced, P <0.05, the difference was statistically significant. Conclusion: The application of television mediastinoscopy in the diagnosis of mediastinum and lung cancer staging can significantly improve the clinical diagnosis rate and improve the quality of prognosis of patients, worthy of clinical promotion.