巨大纵隔肿瘤16例的诊断和外科治疗临床分析

目的：回顾性地分析巨大纵隔肿瘤的诊断、外科治疗和预后，总结治疗该类痰病的方法和要点。方法：对2000年到2015年我院收治的16俐巨大纵隔肿瘤的临床资料进行回顾性分析总结、结果：14例肿瘤被成功切除，2倒被姑息性切除；其中肺楔形切除1例，肺叶切除l例，0包部分切除2例．无手术死亡。结论：巨大纵隔肿瘤依据病史、胸片、胸部CT即可诊断，选择合适的麻醉和手术方式治疗巨大纵隔肿瘤效果肯定，术中可选择分块或整块切除．避免大出血和复张性肺水肿，并减少复发.

Objective： A retrospective analysis of giant mediastinal tumor diagnosis, surgical treatment and prognosis, summarize the methods and key points of the treatment of the disease. Methods ： The clinical data of 16 cases with giant mediastinal tumor were restroperctively analysized in our hospital from 2000 to 2015. Results： Tumor of 14 cases had been successiully removed; 2 cases had been conducted palliative operation. Of 14 cases, wedge excision of pulmonary in 1 case, lobextomv of lung in 1 case, partical perieardia excision in l ease, non one died. Conclusions： Based on the history of giant tumor nf mediastinum, chest X -ray, chest CT diagnosis. Surgical treatment is one of the reasonable tholes for the giant mediastinal tumor. The technique of the segmental resection or en - block resection is available and more attention to pay for avoiding heavy bleeding and re - expanding pulmonary and reduce the recurrence.