Longefait H
Poumon Coeur. 1975;31(6):329-31.
Mediastinoscopy is a surgical examination exploring the anterior and superior mediastinum for diagnosing and localizing lesions, after taking such precautions as the elimination of vascular lesions. The indications are : interbronchial and intertracheobronchial opacities ; polylobulated mediastinal opacities ; the isolated opacity (in case of inconclusive mediastinoscopy, operate straight away) ; pulmonary lesions : to look for mediastinal node untraceable on X-ray. In the particular case of a broncho-pulmonary cancer, if it is anaplastic, mediastinoscopy is useful to determine diagnosis and contra-indications ; in other bronchial cancers, there are contra-indications in the case of bilateral invasion and blocking of mediastinal organs. Surgery is advised in case of hypertrophied though negative lymph nodes.
纵隔镜检查是一种外科检查，在采取诸如排除血管病变等预防措施后，探查前纵隔和上纵隔以诊断和定位病变。其适应证为：支气管间和气管支气管间的混浊；多叶状纵隔混浊；孤立性混浊（若纵隔镜检查结果不明确，应立即手术）；肺部病变：寻找X线检查无法发现的纵隔淋巴结。在支气管肺癌的特殊情况下，如果是间变性的，纵隔镜检查有助于确定诊断和禁忌证；在其他支气管癌中，若纵隔器官出现双侧侵犯和阻塞则存在禁忌证。对于肿大但淋巴结阴性的情况，建议进行手术。
