Bellamy J, Verdoux P, Milleron B, Carette M F
Centre Chirurgical Val d'Or-Saint-Cloud.
Rev Pneumol Clin. 1992;48(1):19-23.
Two new cases of tumour of nerves running in the mediastinum are reported; one was a schwannoma of the right phrenic nerve, the other a schwannoma of the vagus nerve. In both cases the diagnosis was suspected on the basis of computed tomography scans. Treatment consisted of nerve-sparing tumour enucleation. The result was incomplete in the first patient, with partial paralysis of the diaphragm, and complete in the second patient, with no disturbance of pharyngeal motility. The authors discuss the diagnosis of these tumours and the validity of nerve-sparing surgery.
报告了两例纵隔神经肿瘤的新病例;一例是右膈神经鞘瘤,另一例是迷走神经鞘瘤。在这两例病例中,计算机断层扫描均怀疑有诊断结果。治疗方法是保留神经的肿瘤摘除术。第一例患者的治疗结果不完全,膈肌部分麻痹,而第二例患者的治疗结果完全,咽部运动无异常。作者讨论了这些肿瘤的诊断以及保留神经手术的有效性。