电视胸腔镜手术对纵隔疾病的诊治

Video-assisted thoracic surgery for the diagnosis and treatment of mediastinal disease

目的探讨电视胸腔镜手术纵隔疾病的诊治方法及价值.方法1997年1月～2003年12月该院应用电视胸腔镜手术(VATS)诊治纵隔疾病患者47例.胸腺瘤8例,胸腺囊肿3例,胸腺增生2例,恶性胸腺瘤4例,神经源性肿瘤16例,支气管囊肿6例,畸胎瘤2例,心包囊肿2例,脂肪瘤2例,纵隔淋巴结核1例,淋巴瘤1例.其中重症肌无力4例,按Ossermen分型Ⅰ型2例,ⅡA型2例.结果46例于胸腔镜下完成,1例电视胸腔镜辅助左胸小切口完成,全组无并发症,无1例死亡,均治愈出院.结论应用胸腔镜手术诊治纵隔肿瘤,创伤小,术后恢复快,适当选择病例,可在一定程度上代替传统开胸手术.

Objective:To evaluate the role of video-assisted thoracic surgery(VATS)in the diagnosis and treatment of mediastinal Disease.Methods:From January1997to March2003,34patients with mediastinal disease underwent VATS.Results:The preliminary results were promising.There was no postoperative death and complica-tions.Conclusion:VATS is a new and useful approach in the diagnosis and treatment of mediastinal Disease.