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目的:探讨纵隔镜手术在肺癌分期中的应用价值。方法:对高度怀疑为肺癌的患者12例和病理诊断已确诊为肺癌,且影象学显示纵隔淋巴结肿大(≥1.0cm)的8例患者行颈部纵隔镜手术。结果:高度怀疑或病理诊断已确诊为肺癌的20例,纵隔镜检查阳性14例,阴性6例。阳性者放弃手术,予以化疗;阴性者中6例经开胸探查证实为肺癌,手术切除标本未发现纵隔淋巴结转移,特异性、敏感性均为100%。纵隔镜手术后发生出血1例。无围手术期死亡。结论:纵隔镜手术创伤小、安全、取材可靠,是诊断肺癌术前分期最重要的方法。
Objective: To explore the value of mediastinoscopy in the staging of lung cancer. METHODS: Twenty-two patients with high suspicion of lung cancer and pathological diagnosis of lung cancer were confirmed. Eight patients with mediastinal lymph node enlargement (≥1.0 cm) underwent radiographic mediastinoscopy. RESULTS: Twenty patients were highly suspected or pathologically diagnosed as having lung cancer, 14 were mediastinoscopy positive and 6 were negative. Positive patients gave up surgery, to be chemotherapy; 6 were negative by thoracotomy confirmed lung cancer, surgical specimens were not found in mediastinal lymph node metastasis, specificity, sensitivity were 100%. One case of bleeding after mediastinoscopy. No perioperative deaths. Conclusion: Mediastinoscopy is a safe, reliable and reliable method for the diagnosis of lung cancer. It is the most important method to diagnose the preoperative staging of lung cancer.