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目的探讨电视纵隔镜在肺癌分期中的临床应用价值。方法对2003年5月至2008年5月开展的53例电视纵隔镜诊断肺癌纵隔淋巴结分期的手术病例进行回顾性分析。结果术前拟诊肺癌并有纵隔淋巴结肿大的53例患者,经纵隔镜淋巴结活检,发现21例有纵隔淋巴结转移,32例无转移,后者中的30例经开胸手术病理确诊为肺癌无纵隔淋巴结转移,其余2例不是肺癌;51例肺癌患者经纵隔镜淋巴结活检均获得准确的肺癌分期。所有手术无严重并发症发生。结论电视纵隔镜是肺癌纵隔淋巴结分期的准确、安全、可靠的检查方法。
Objective To investigate the clinical value of mediastinoscopy in the staging of lung cancer. Methods 53 cases of mediastinoscopy in diagnosis of mediastinal lymph node staging in lung cancer from May 2003 to May 2008 were retrospectively analyzed. Results Fifty-three patients diagnosed with preoperative lung cancer with mediastinal lymph node enlargement were examined by mediastinum lymph node biopsy and found that there were 21 cases with mediastinal lymph node metastasis and 32 cases without metastasis. Thirty patients in the latter group were diagnosed as lung cancer by thoracotomy No mediastinal lymph node metastasis, the remaining two cases are not lung cancer; 51 cases of lung cancer by mediastinoscopy lymph node biopsy were accurate lung cancer staging. No serious complications occurred in all operations. Conclusion Video mediastinoscopy is an accurate, safe and reliable method for detecting mediastinal lymph node staging of lung cancer.