Forse R A, Dutton J W, Munro D D
Can J Surg. 1978 Sep;21(5):438-40.
Mediastinoscopy is an efficient method of assessing lymphatic spread in carcinoma of the lung. It is also valuable in providing a definitive diagnosis of other lung diseases. At the Montreal Chest Hospital Centre diagnostic mediastinoscopy was performed in 60 patients with diseases of the lung other than primary carcinoma. All had preoperative radiologic evidence of hilar adenopathy. A definitive diagnosis was obtained in 91.7% of cases. Nonspecific adenitis was diagnosed in four patients and in none was there evidence of serious intrathoracic disease subsequently. Morbidity was minimal and there were no deaths. Mediastinoscopy is a safe, accurate and efficient aid in the evaluation of primary or secondary disease of the anterior intrathoracic lymphatic system.
纵隔镜检查是评估肺癌淋巴转移的一种有效方法。它在对其他肺部疾病进行明确诊断方面也具有重要价值。在蒙特利尔胸科医院中心，对60例非原发性肺癌的肺部疾病患者进行了诊断性纵隔镜检查。所有患者术前影像学检查均显示肺门淋巴结肿大。91.7%的病例获得了明确诊断。4例患者被诊断为非特异性腺炎，随后均未发现严重胸内疾病的证据。发病率极低，无死亡病例。纵隔镜检查是评估胸内前淋巴系统原发性或继发性疾病的一种安全、准确且有效的辅助手段。
