胸部肿瘤的胸腔镜诊断和治疗

Thoracoscopic Diagnosis and Treatment of Thoracic Neoplasm

用现代胸腔镜治疗胸部肿瘤２５例，其中良性肿瘤１２例，恶性肿瘤１３例，效果良好。文中介绍了胸腔镜肺楔形切除术、胸膜活检和固定术、纵隔肿瘤切除术、胸膜转移瘤切除术、肺叶切除术和胸腺切除术，探讨了胸部肿瘤的胸腔镜手术适应证。结果显示：胸腔镜手术创伤小、恢复快、效果好。在胸部肿瘤，尤其是良性肿瘤的治疗中有广阔的前景。

Thoracoscopy has been found useful for both the diagnosis and treatment of thoracic neoplasm.Between November 1992 and August 1994,video-assisted thoracoscopic procedures were performed in 25 patients with thoracic tumors.Twelve of them were benign, the others malignant. The thoracoscopic procedures included pulmonary wedge resections, 11;pleurodesis and biospies,6; mediastinal tumor resection,3;lung biospy,1;lobectomy,1;thymectomy,1 and convert thoracotomy, 2.The article also discussed the indicaion and contraindication of thoracoscopy in throacic tumours.