上腔静脉内支架置入+纵隔镜检查在上腔静脉阻塞综合征诊断中的应用

Value of Superior Vena Cava Endoprosthesis Insertion+Mediastinoscopy in Diagnosis of Superior Vena Cava Obstruction Syndrome

目的探讨上腔静脉腔内支架置入术(纵隔镜检查在上腔静脉阻塞综合征诊断中的应用价值。方法对8例严重的上腔静脉阻塞综合征患者先行上腔静脉内支架置入术,再行纵隔镜手术。结果8例手术均获成功。上腔静脉腔内支架置入成功后上腔静脉压下降,纵隔镜手术的并发症风险减少,且术者的精神压力减轻。结论上腔静脉腔内支架置入(纵隔镜检查是一种安全可靠的上腔静脉阻塞综合征诊断方法。

Objective To investigate the value of superior vena cava endoprosthesis insertion＋ mediastinoscopy in diagnosis of superior vena cava obstruction syndrome （SVCOS）. Methods 8 cases of patients who suffered from severe SVCOS were performed with superior vena cava endoprosthesis insertion first ,then mediastinoscopy. Results All operations were successful. After superior vena cava endoprosthesis insertion, the superior vena pressure decreased, and so did the complication risk of mediastinoscopy. In addition, mental stress experienced by patients was relieved. Conclusion Superior vena cava endoprosthesis insertion＋mediastinoscopy is a safe method for diagnosing SVCOS.