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目的对电视纵隔镜在纵隔肿物诊断与肺癌分期中的应用价值进行分析。方法选取未明确诊断的纵隔疑难疾病患者42例与疑似或确诊的肺癌患者48例,所有患者均行电视纵隔镜检查与治疗,对诊断结果与治疗效果进行分析。结果 90例患者均顺利完成手术,未发生手术死亡事件及术后并发症;42例纵隔有疑难疾病患者的电视纵隔镜确诊率为97.62%,48例疑似或确诊肺癌患者淋巴结分期判断准确率为100%。结论电视纵隔镜具有术野清晰、可靠安全等优点,可作为对纵隔肿物与肺癌进行临床诊断与分期的常规、有效诊断方法。
Objective To analyze the value of mediastinoscopy in the diagnosis of mediastinal masses and the staging of lung cancer. Methods Forty-two patients with suspected mediastinal diseases and 48 patients with suspected or confirmed mediastinal diseases were enrolled in this study. All patients underwent mediastinoscopy and treatment, and the diagnosis and treatment effects were analyzed. Results All the 90 patients were successfully operated without any surgical death and postoperative complications. The diagnosis rate of mediastinoscopy in 42 patients with mediastinal diseases was 97.62%, and the accuracy of 48 patients with suspected or confirmed lung cancer was 100%. Conclusion Video mediastinoscopy has the advantages of clear operation field, reliable and safe, which can be used as a routine and effective diagnostic method for clinical diagnosis and staging of mediastinal masses and lung cancer.