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目的观察手术联合化疗治疗纵隔淋巴瘤的临床疗效。方法自1995年至2005年共用手术和电子胸腔镜治疗纵隔肿瘤64例,对术后病检证实为纵隔淋巴瘤的13例,进行系统化疗。结果全组病例均手术成功,术后对13例患者进行随访,3年生存12例,生存率为92%;5年生存11例,生存率为71.4%。结论早期切除纵隔淋巴瘤联合术后化疗,可提高患者生存率。
Objective To observe the clinical efficacy of surgery and chemotherapy in the treatment of mediastinal lymphoma. Methods From 1995 to 2005, 64 cases of mediastinal tumors were treated by surgery and electronic thoracoscopy. Thirteen patients were confirmed as mediastinal lymphomas by postoperative pathological examination and received systemic chemotherapy. Results All patients were operated successfully. Thirteen patients were followed up after operation. Twelve patients survived 3 years and the survival rate was 92%. Five patients survived in 11 patients and the survival rate was 71.4%. Conclusions Early resection of mediastinal lymphoma combined with postoperative chemotherapy can improve the survival rate of patients.