Mikhail J R, Shepherd M, Mitchell D N
Endoscopy. 1979 Feb;11(1):5-8. doi: 10.1055/s-0028-1098315.
Mediastinoscopy, in the skilled hands of a thoracic surgeon has proved to be a safe, cosmetically accepted procedure with negligible complications. It has yielded a high rate of diagnostic lymph node tissue; overall greater than 82% among patients with sarcoidosis, including patients presenting with pulmonary mottling only or with a normal chest radiograph. Among patients with lymphatic tuberculosis it enabled the isolation of human M. tuberculosis following culture of the lymph node removed on Löwenstein-Jensen medium in greater than 79% of cases. A precise histological diagnosis was obtained in all 14 patients presenting with hilar and/or paratracheal lymphadenopathy attributable to malignant disease.
纵隔镜检查，在胸外科医生的熟练操作下，已被证明是一种安全、美容效果可接受且并发症可忽略不计的手术。它获取诊断性淋巴结组织的成功率很高；在结节病患者中总体超过82%，包括仅表现为肺部斑片状影或胸部X线片正常的患者。在淋巴结核患者中，通过在罗氏培养基上培养切除的淋巴结，超过79%的病例能够分离出人类结核分枝杆菌。在所有14例因恶性疾病导致肺门和/或气管旁淋巴结肿大的患者中均获得了精确的组织学诊断。
