纵隔肿瘤与囊肿的诊断及外科治疗

Diagnosis and surgical treatment of mediastinal tumors and cysts:analysis of 343 cases

目的总结纵隔肿瘤和囊肿的诊断及外科治疗。方法对解放军总医院1996年3月至2005年4月343例纵隔肿瘤和囊肿患者的临床资料进行回顾性分析。结果肿瘤及囊肿完整切除300例,部分切除25例,均经术后病理证实。发生并发症9例。结论正确诊断以及根据肿瘤特点选择合理的手术方法是获得良好治疗效果的关键。

Objective To review the experience of diagnosis and surgical treatment of mediastinal tumors and cysts. Methods The clinical data of 343 cases with mediastinal tumors and cysts who underwent operation from March 1996 to April 2005, 208 males and 135 females, aged 40.5 ± 16. 1, were analyzed. Results No specific symptom and sign was found among the patients. Tumor of Thymus accounted for 42.24%. 300 of the 343 patients were subjected to radical excision,and 25 patients to partial excision. The diagnosis of all the patients was confirmed by postoperative histopathological examination. Surgically related complications were observed in 9 cases. Conclusion Tumor of thymus is the commonest mediastinal tumors. Early operation is necessary provided there is no contraindication thereto.