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目的总结巨大纵隔肿瘤的外科治疗方法。方法回顾性分析我院胸外科2008年10月至2013年10月18例巨大纵隔肿瘤患者的临床资料,其中男10例、女8例,年龄33.5(13~63)岁。肿瘤完整切除12例,大部分切除6例;良性肿瘤11例,恶性肿瘤7例。结果全组围手术期无死亡病例,术中呼吸循环衰竭2例。术后发生复张性肺水肿2例,损伤喉返神经l例,肌无力危象1例,心律失常10例,胸腔活动性出血再次开胸止血l例,经治疗均恢复良好出院。结论手术治疗是巨大纵隔肿瘤的主要治疗方法,良性肿瘤患者手术效果佳,恶性者生存时间与组织分化及肿瘤分期有关,手术以缓解症状为主。
Objective To summarize the surgical treatment of huge mediastinal tumors. Methods The clinical data of 18 patients with giant mediastinal tumors in our hospital from October 2008 to October 2013 were retrospectively analyzed, including 10 males and 8 females, aged 33.5 (13-63) years. Twelve patients underwent complete tumor resection and 6 patients underwent most resections. There were 11 benign tumors and 7 malignant tumors. Results There were no deaths in the perioperative period in the whole group. There were 2 cases of intraoperative respiratory and circulatory failure. Postoperative reexpansion pulmonary edema occurred in 2 cases, laryngeal recurrent nerve injury in 1 case, myasthenia crisis in 1 case, arrhythmia in 10 cases, and active chest bleeding reopened the chest to stop bleeding in 1 case. All of them recovered well after treatment. [Conclusion] Surgical treatment is the main treatment method for huge mediastinal tumors. The benign tumor patients have good surgical results. The survival time of malignant tumors is related to histological differentiation and tumor stage, and the surgery is mainly to relieve symptoms.