摘要
目的 讨论电视胸腔镜在肺结节样病变中的诊断作用。方法 诊断不明的单侧肺结节样病变的患者 2 2例 ,肿物部位探寻明确后 ,电视胸腔镜下行肺楔形切除术 ,术中送冰冻快速病理。结果 肺癌 5例 (占 2 2 .7% )、转移瘤3例 (占 13.6 % )、肺结核瘤 5例 (占 2 2 .7% )、炎性假瘤 3例 (占 13.6 % )、炎性肿块 3例 (占 13.6 % )、肺包虫病 2例 (占9.2 % )、肺结节病 1例 (占 4 .6 % ) ,经VATS单纯肺楔形切除术 16例 ,中转开胸 6例。后者中 5例为腺癌 ,行肺叶切除加淋巴结清扫 ;1例为炎性肿块 ,直径仅 1.0cm。结论 VATS给胸外科医生提供了一个新的诊治手段 ,对患者生理干扰小 ,确诊率高 ,易被患者所接受。
objective\ Evaluation of the value of video assisted thoracic surgery (VATS) to diagnose pulmonary nodules. methods There were 22 patients with indeterminate lung nodules. The thoracoscopic wedge resection has been performed and the biopsy has been made in the operations. results There were no deathsOf all patients, there were 5 cases diagnosed with lung cancers , 11 metastases, 5 tubercolomas, 3 inflammatory pseudotumors, 3 inflammatory masses, 2 hydatid diseases and one sarcoidosis. We successfully performed pulmonary resections in 16 patients. But a conversion to open surgery was required in 6 patients (5 lung cancers with lobectomies and one inflammatory mass). Conclusion VATS provides doctors with a safe and effective approach to diagnosis and treatment of pulmonary nodules.
出处
《中国实验诊断学》
2003年第3期226-227,共2页
Chinese Journal of Laboratory Diagnosis
