Wang Jun, Zhao Hui, Liu Jun, Li Jianfeng, Li Yun
Department of Thoracic Surgery, People's Hospital, Peking University, Beijing 100044, China.
Zhonghua Wai Ke Za Zhi. 2002 Nov;40(11):840-2.
To determine the value of video-mediastinoscopy in clinical application.
The clinical data of 54 patients receiving video-mediastinoscopy were reviewed retrospectively. This operation consisted of cervical mediastinoscopy in 44 patients, parasternal mediastinoscopy in 6, and combined procedures in 4. Of these patients, 18 underwent video-mediastinoscopy for the evaluation of undifferentiated mediastinal disease. Thirty-six patients with suspected lung cancer showed enlarged mediastinal lymph nodes radiographically in the chest and underwent video-mediastinoscopy.
Seventeen of 18 patients with undetermined mediastinal diseases had a definitive pathologic diagnosis, with an accuracy of 94.4% (17/18). In the 36 patients with suspected lung cancer, 22 were positive, and 14 negative. In the negative patients who underwent thoracotomy with resection, mediastinal lymph nodes revealed no evidence of metastasis. There were no postoperative complication and deaths.
Video-mediastinoscopy as a highly effective and safe procedure could be used in the diagnosis and staging of thoracic diseases.
确定电视纵隔镜检查在临床应用中的价值。
回顾性分析54例行电视纵隔镜检查患者的临床资料。该手术包括44例行颈部纵隔镜检查、6例行胸骨旁纵隔镜检查、4例行联合手术。其中18例患者接受电视纵隔镜检查以评估未分化纵隔疾病。36例疑似肺癌患者胸部影像学显示纵隔淋巴结肿大，接受电视纵隔镜检查。
18例纵隔疾病未明患者中17例获得明确病理诊断，准确率为94.4%（17/18）。36例疑似肺癌患者中，22例阳性，14例阴性。阴性患者行开胸切除术后，纵隔淋巴结未见转移证据。无术后并发症及死亡病例。
电视纵隔镜检查是一种高效、安全的检查方法，可用于胸部疾病的诊断及分期。
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