胸骨旁小切口在纵隔疾病诊断中的应用价值
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摘要
目的探讨胸骨旁小切口在纵隔疾病诊断中的优点及其临床应用价值。方法 2l例诊断为纵隔疾病的患者行胸骨旁小切口进行活检。结果 21例均通过胸骨旁小切口取到足够的组织标本并得到明确的病理学诊断,无一例患者发生与手术相关并发症。结论胸骨旁小切口活检术技术操作简单,无需特殊设备,对患者创伤小、恢复快、并发症少,易于为患者接受,对纵隔疾病的诊断有应用价值。
Objective To explore the advantages and clinical value of small parasternal incision in the diagnosis of mediastinal diseases.Methods A total of 21 patients who were diagnosed as mediastinal diseases received biopsy via the small parasternal incision.Results Enough tissue samples were obtained and diagnosed with pathology in all patients.Each patient got timely treatment and none of them experienced related complications.Conclusion Biopsy via the small parasternal incision is a simple operation without special requirement for equipment.It has advantages in small trauma,rapid recovery and few complications,which could be easily accepted by patients.It has certain application values in the diagnosis of mediastinal diseases and can serve as a useful supplement for other diagnostic methods.It is worthy of being spread in the primary hospitals and undeveloped areas.
Objective To explore the advantages and clinical value of small parasternal incision in the diagnosis of mediastinal diseases.Methods A total of 21 patients who were diagnosed as mediastinal diseases received biopsy via the small parasternal incision.Results Enough tissue samples were obtained and diagnosed with pathology in all patients.Each patient got timely treatment and none of them experienced related complications.Conclusion Biopsy via the small parasternal incision is a simple operation without special requirement for equipment.It has advantages in small trauma,rapid recovery and few complications,which could be easily accepted by patients.It has certain application values in the diagnosis of mediastinal diseases and can serve as a useful supplement for other diagnostic methods.It is worthy of being spread in the primary hospitals and undeveloped areas.
引文
[1]周乃康,张涛,粱朝阳,等.纵隔肿瘤与囊肿的诊断及外科治疗[J].中华医学杂志,2007,87(11):181-193.
[2]董彦军,张双林,张庄,等.全胸腔镜纵隔肿瘤切除31例临床分析[J].中国内镜杂志,2011,17(2):175-180.
[3]陈达,柴莹.胸腔镜下小切口手术治疗胸部肿瘤的临床观察[J].第四军医大学学报,2009,16(2):198-199.
[4]刘沛雄,贺智高,龙海清.等.CT引导下经胸膜腔径路纵隔肿瘤穿刺活检的临床应用[J].中国CT和MRI杂志,2013,11(1):45-47.
[5]李振家,武乐斌.CT引导下纵隔穿刺[J].医学影像学杂志,2000,10(3):,196-198.
[6]王齐敏,吕丽,孙传恕,等.纵隔芯针穿刺活检64例临床病理分析[J].诊断病理学杂志,2013,20(4):208-211.
[7]庄一平,张晋,康铮,等.CT引导下纵隔肿瘤穿刺活检术[J],放射与实践,2003,18(11):825-827.
[8]毛勇.胸腔镜手术在纵隔肿瘤切除中的临床应用[J].中国初级卫生保健,2013,27(3):125-126.
[9]陈智文,周客华,郎均荷.胸腔镜手术治疗纵隔肿瘤的疗效分析[J].实用心脑肺血管病杂志,2013,2l(11):87-88.
[10]李剑锋,李金锐,杨帆,等.胸腔镜胸腺扩大切除治疗重症肌无力的远期疗效分析[J].中华医学杂志,2006,86(33):2312-2314.
[11]曹强,王启,许瑞彬.电视胸腔镜手术在纵隔肿瘤切除中的应用[J].中国微创外科杂志,2013,13(9):814-816.
[12]陈智文,周客华,朗均荷.胸腔镜手术治疗纵隔肿瘤疗效分析[J].实用心脑肺血管病杂志,2013,21(11):87-88.
[2]董彦军,张双林,张庄,等.全胸腔镜纵隔肿瘤切除31例临床分析[J].中国内镜杂志,2011,17(2):175-180.
[3]陈达,柴莹.胸腔镜下小切口手术治疗胸部肿瘤的临床观察[J].第四军医大学学报,2009,16(2):198-199.
[4]刘沛雄,贺智高,龙海清.等.CT引导下经胸膜腔径路纵隔肿瘤穿刺活检的临床应用[J].中国CT和MRI杂志,2013,11(1):45-47.
[5]李振家,武乐斌.CT引导下纵隔穿刺[J].医学影像学杂志,2000,10(3):,196-198.
[6]王齐敏,吕丽,孙传恕,等.纵隔芯针穿刺活检64例临床病理分析[J].诊断病理学杂志,2013,20(4):208-211.
[7]庄一平,张晋,康铮,等.CT引导下纵隔肿瘤穿刺活检术[J],放射与实践,2003,18(11):825-827.
[8]毛勇.胸腔镜手术在纵隔肿瘤切除中的临床应用[J].中国初级卫生保健,2013,27(3):125-126.
[9]陈智文,周客华,郎均荷.胸腔镜手术治疗纵隔肿瘤的疗效分析[J].实用心脑肺血管病杂志,2013,2l(11):87-88.
[10]李剑锋,李金锐,杨帆,等.胸腔镜胸腺扩大切除治疗重症肌无力的远期疗效分析[J].中华医学杂志,2006,86(33):2312-2314.
[11]曹强,王启,许瑞彬.电视胸腔镜手术在纵隔肿瘤切除中的应用[J].中国微创外科杂志,2013,13(9):814-816.
[12]陈智文,周客华,朗均荷.胸腔镜手术治疗纵隔肿瘤疗效分析[J].实用心脑肺血管病杂志,2013,21(11):87-88.