Widstrom A, Schnurer L B
J Otolaryngol. 1978 Apr;7(2):103-9.
The diagnostic value of 374 mediastinoscopies with biopsies from 1958-1971 is shown. The procedure has been evaluated earlier. The observation period in this report is so long that the clinical diagnoses are very reliable and give the material special interest. Over 90 per cent of sarcoidosis cases were diagnosed. The procedure is also shown to be of great value in investigating doubtful radiographic changes in the lungs and mediastinum. Mediastinoscopy showed tumor invasion of the mediastinal lymph glands in 79 of 216 patients with lung cancer so that 79 patients were spared thoracotomy. Mediastinoscopy can also be used to assess tumor spread in the planning of radiotherapy. In order to carry out a satisfactory lung diagnosis it is necessary to use mediastinoscopy.
本文展示了1958年至1971年间374例经活检的纵隔镜检查的诊断价值。该检查方法此前已得到评估。本报告中的观察期很长，因此临床诊断非常可靠，使得该研究材料具有特殊意义。超过90%的结节病病例得到了诊断。该检查方法在研究肺部和纵隔可疑的影像学改变方面也显示出巨大价值。在216例肺癌患者中，纵隔镜检查发现79例纵隔淋巴结有肿瘤侵犯，从而使79例患者免于开胸手术。纵隔镜检查还可用于在放疗计划中评估肿瘤扩散情况。为了做出令人满意的肺部诊断，有必要使用纵隔镜检查。
