胸腔巨大肿瘤外科治疗26例临床分析

Analysis of surgical treatment of giant thoracic tumors: A report of 26 cases

目的:探讨胸腔巨大肿瘤的外科诊断与治疗经验。方法:回顾性分析26例胸腔巨大肿瘤的临床资料及诊疗经过,男16例,女10例。肿瘤体积10cm×8cm×6cm-42cm×30cm×15cm,重量900-5250g。结果:围手术期无死亡,术中急性失血性休克3例,术后复张性肺水肿2例,发生脓胸1例。结论:胸腔巨大肿瘤手术操作困难,围手术期并发症凶险,但如能加强围手术期麻醉管理、合理选择手术切口、术中有效止血、术后积极预防肺水肿发生,手术安全性将获得显著提高,并能明显改善患者生存质量。

Objective：To discuss the surgical treatment of giant thoracic tumors.Methods：The clinical data and treatment of 26 cases with giant thoracic tumors were retrospectively analyzed,16 male and 10 female.The volume of tumors ranged from 10cm × 8cm × 6cm to 42cm × 30cm × 15cm,and the weight ranged from 900g to 5250g.Results：There was no perioperative death.However,acute hemorrhagic shock was found in 3 cases during operation,re-expansion pulmonary edema in 2 cases and empyema in 1 case after operation.Conclusion：Though for cases with giant thoracic tumors,it is difficult and dangerous during the perioperation,if with anesthetic management strengthened,incision chosen properly,hemostasis adopted effectively,active prevention of pulmonary edema,surgical safety will be greatly improved,and can significantly improve the quality of life of patients.