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5目的:总结纵隔肿瘤的诊断和外科治疗体会。方法:回顾分析139例纵隔肿瘤患者的手术方法及术后并发症的处理,手术方法包括单纯肿瘤切除、胸腺肿瘤切除合并纵隔脂肪扩大清除术、肿瘤侵犯肺叶楔形切除或肺叶切除术、上腔静脉置换术及无名静脉和上腔静脉成形术。结果:全组无死亡病例,术后出现复张性肺水肿3例,乳糜胸1例,肌无力危象5例,胆碱能危象1例,左无名静脉成形术后栓塞1例。结论:正确的围术期处理和手术方式的选择,可以提高纵隔肿瘤的治疗效果。
5 Objective: To summarize the diagnosis and surgical treatment of mediastinal tumors. Methods: A retrospective analysis of 139 cases of mediastinal tumor patients surgical treatment and postoperative complications, surgical methods include simple tumor resection, thymic tumor resection combined with mediastinal fat enlargement and clearance, tumor invasion lobectomy or lobectomy, superior vena cava Replacement and nameless vein and superior vena cava angioplasty. Results: There was no death in the whole group. There were 3 cases of recurrent pulmonary edema, 1 case of chylothorax, 5 cases of muscle weakness crisis, 1 case of cholinergic crisis and 1 case of left aplastic vein embolization. Conclusion: The correct perioperative management and choice of surgical modality can improve the therapeutic effect of mediastinal tumors.