电视辅助胸腔镜检查在儿童纵隔肿物诊断中的应用
Video-assisted thoracoscopy for the diagnosis of mediastinal masses in children.
作者信息
Sandoval C, Stringel G
机构信息
Department of Pediatrics, New York Medical College, Westchester County Medical Center, Valhalla 10594, USA.
出版信息
JSLS. 1997 Apr-Jun;1(2):131-3.
BACKGROUND AND OBJECTIVES
Video-assisted thoracoscopy has been successfully used for several different thoracic procedures in adults. However, its use in children has been limited. The present study evaluated our experience with video-assisted thoracoscopy in the diagnosis of mediastinal masses in children.
METHODS
Nine children (age range, 3 to 18 years) with undiagnosed mediastinal masses underwent video-assisted thoracoscopy. The operation was performed using general anesthesia, with the patient intubated with a single lumen endotracheal tube.
RESULTS
In all cases adequate tissue for diagnosis was obtained. Three patients had tuberculosis, two had Hodgkin's disease, two had granuloma, one had metastatic Wilms' tumor, and one had thymic hyperplasia. There were no complications related to the operative procedure.
CONCLUSIONS
Video-assisted thoracoscopy for the diagnosis of mediastinal masses in children is a safe procedure. It provides good visualization, access to the mediastinum and adequate tissue for diagnosis. Further, postoperative discomfort is tolerable and cosmetic results are excellent.
背景与目的
电视辅助胸腔镜已成功应用于成人多种不同的胸部手术。然而，其在儿童中的应用一直有限。本研究评估了我们应用电视辅助胸腔镜诊断儿童纵隔肿物的经验。
方法
9例未确诊纵隔肿物的儿童（年龄范围3至18岁）接受了电视辅助胸腔镜检查。手术采用全身麻醉，患者通过单腔气管内插管进行气管插管。
结果
所有病例均获得了足够用于诊断的组织。3例患有结核病，2例患有霍奇金病，2例患有肉芽肿，1例患有转移性肾母细胞瘤，1例患有胸腺增生。未发生与手术相关的并发症。
结论
电视辅助胸腔镜用于诊断儿童纵隔肿物是一种安全的手术方法。它能提供良好的视野，便于进入纵隔并获取足够用于诊断的组织。此外，术后不适可耐受，美容效果极佳。
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