电视纵隔镜在胸部疾病诊断中的应用价值

Primary experience of video mediastinoscopy in the diagnosis of thoracic disease

目的探讨电视纵隔镜在纵隔疑难疾病诊断及肺癌术前分期中的应用价值。方法对160例电视纵隔镜手术资料进行分析。结果 160例经电视纵隔镜手术,158例术后确诊:结节病60例,淋巴结慢性炎症19例,转移性腺癌32例,小细胞癌15例,转移性鳞癌10例,淋巴结核13例,霍奇金氏淋巴瘤4例,转移性低分化癌5例,30例肺癌患者术前经纵隔镜淋巴结活检均获得准确的肺癌分期。结论电视纵隔镜手术是纵隔疑难疾病诊断和肺癌术前分期的安全、可靠、准确的检查方法。

Objective To investigate the application value of video mediastinoscopy in the diagnosis of mediastinal diseases and lung cancer. Methods The clinical data of 160 patients underwent mediastinoscopy were retrospectively analyzed. Results The diagnosis was confirmed under video mediastinoscopy in 158 cases, including 60 cases of sarcoidosis, 19cases of lymph node inflammation, 32 cases of adenocarcinoma, 15 cases of small cell carcinoma, 10 cases of squamous cell carcinoma, 13 cases of tuberculosis, 4 cases of Hodgkin＇S lymphoma, and 5 cases of poorly differentiated carcinoma. All of the 30 lung cancer patients were accurately staged. Conclusion Video mediastinoscopy is a safe, reliable and accurate procedure for the diagnosis of mediastinal diseases and in staging of lung cancer.