先天性纵隔气管支气管囊肿51例外科治疗

Surgical treatment of 51 cases with congenital mediastinal tracheobronchogenic cyst

目的了解纵隔气管支气管囊肿的临床病理特征,提高诊断、鉴别诊断及治疗水平。方法分析51例外科治疗的先天性纵隔气管支气管囊肿患者的相关临床资料。结果51例中41例术前有临床症状,10例为体检发现;43例术前诊断为神经源性肿瘤、胸腺瘤、肺癌和纵隔肿瘤,8例术前影像学诊断支气管囊肿;术后恢复均顺利,45例术后症状消失,5例术后胸痛及咳嗽,1例术后3年复发,再次手术切除治愈。余随访至今无复发。结论手术完整切除可明确诊断,解除症状,防止并发症和改善预后,是首选治疗手段。

Objective To explore clinical and pathological characteristics of mediastinal tracheobronchogenie cyst, and to improve the level of diagnosis and treatment. Methods The clinical data were analyzed of 51 cases of congenital mediastinal tracheobronchogenic cyst via surgical operative resected. Results In 51 cases, 41 cases suffered various symptoms preoperatively, 10 cases diagnosed incidently tracheobronchogenic cyst during X plain screening and medical examination. 43 patients were diagnosed preoperatively as neurogenic tumor, thymoma, lung cancer and mediastinal tumor. 8 patients were diagnosed correctly. Postoperative all patients received a unincidence course. The symptoms disappeared in 45 cases and the symptoms of 5 cases remained postoperatively. 1 patient recurred 3 years later, who was healed by means of reoperating. The remainder of the patients did not recur until now. Conclusion Surgical therapy is the most optimal alternative for congenital tracheobronchogenic cyst of mediastinum. It helps to make diagnosis, to relieve the symptoms and to guard against the complications and improve the prognosis of the patients.