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目的 回顾性总结 15例巨大纵隔肿瘤的临床经验 ,探讨其外科治疗及预后。 方法 15例巨大纵隔肿瘤患者中经右胸切口 7例 ,胸骨正中切口 5例 ,左胸切口 3例 ;其中 2例术中运用体外循环 ,2例行血管成形术。结果 患者全部治愈出院 ,辅以放疗、化疗 ,预后良好。 结论巨大纵隔肿瘤的外科治疗困难 ,手术切口、术中操作技术、肿瘤有无外侵对肿瘤切除起主要作用 ,体外循环的运用有助于肿瘤的完整切除。
Objective To retrospectively summarize the clinical experience of 15 patients with giant mediastinal tumors and discuss their surgical treatment and prognosis. Methods Seventeen cases of right mediastinum incision, 5 cases of middle sternotomy and 3 cases of left thoracotomy were included in this study. Among them, 2 cases underwent cardiopulmonary bypass and 2 cases underwent angioplasty. Results All patients were cured, supplemented by radiotherapy and chemotherapy, the prognosis was good. Conclusion The surgical treatment of huge mediastinal tumor is difficult. Surgical incision, intraoperative operation technique and invasion of the tumor play a major role in tumor resection. The use of extracorporeal circulation is helpful for the complete resection of the tumor.