本文選題：胸腺囊腫 + 縱隔囊腫��； 參考：《中國微創(chuàng)外科雜志》2017年05期

【摘要】：目的探討胸腺囊腫的臨床特點(diǎn)及胸腔鏡手術(shù)價(jià)值。方法 2001年4月~2012年10月對72例胸腺囊腫施行胸腔鏡手術(shù),置入胸腔鏡后采用電凝鉤與鈍頭吸引器游離囊腫,輔以鈦夾或超聲刀處理囊腫蒂部,根據(jù)術(shù)中情況決定切除范圍。結(jié)果 CT診斷胸腺囊腫比例51.4%(37/72),其中直徑3 cm組與直徑≤3 cm組分別為70.5%(31/44)和21.4%(6/28),有統(tǒng)計(jì)學(xué)差異(χ~2=16.464,P=0.000);囊液清亮者(n=28)與囊液黏稠者(n=14)分別為67.9%(19/28)和21.4%(3/14),有統(tǒng)計(jì)學(xué)差異(χ~2=8.066,P=0.005)。全胸腔鏡手術(shù)71例,因囊腫與周圍肺組織致密粘連影響探查及分離中轉(zhuǎn)開胸1例(1.4%)。手術(shù)方式包括:胸腺囊腫+胸腺切除術(shù)31例,胸腺囊腫+部分胸腺切除術(shù)21例,胸腺擴(kuò)大切除術(shù)10例,單純胸腺囊腫切除術(shù)10例,術(shù)后無嚴(yán)重并發(fā)癥或死亡。手術(shù)時(shí)間(113.1±43.5)min;出血量中位數(shù)50.0 ml(5~250 ml)。隨訪成功率83.3%(60/72),中位隨訪時(shí)間47個(gè)月(24~150個(gè)月),均未見囊腫復(fù)發(fā)。結(jié)論胸腺囊腫的直徑、囊液性質(zhì)是影響CT診斷準(zhǔn)確率的重要因素;胸腔鏡手術(shù)安全、有效,具有微創(chuàng)優(yōu)勢,切除范圍需要根據(jù)癥狀、影像學(xué)、術(shù)中探查情況和手術(shù)切除徹底性綜合考慮。
[Abstract]:Objective to investigate the clinical features of thymic cysts and the value of thoracoscopic surgery. Methods from April 2001 to October 2012, 72 cases of thymic cysts underwent thoracoscopic surgery. The cysts were treated by electrocoagulation hook and blunt head attractor, and the pedicle of the cyst was treated with titanium clip or ultrasonic knife. The range of resection was determined according to the operation conditions. Results the proportion of thymic cysts diagnosed by CT was 51.4 / 37 / 72, and the diameter of 3 cm group and 鈮，

本文編號(hào)：1892214