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先天性纵隔气管支气管囊肿51例外科治疗
2009 7 14 7 877
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Su rgical treatm ent of 51 cases w ith congen italm ed iastinal tracheobronchogen ic cyst ZHAN G Y,i WEI X iang, PAN
Tiecheng D ep artm ent of Cardiothoracic Surg er , Tongj iH osp ital, H uazhong Universit of Science and Technolog , Wuhan
430030, China
Ab stract Obj ective To explore clinical and pathological characteristics ofm ediastinal tracheo ronchogenic cyst, and to mi
prove the level of diagnosis and treatm ent. M ethod s The clinical data w ere analyzed of 51 cases of congenitalm ediastinal tracheo roncho
genic cyst via surgicaloperative resected. Resu lts In 51 cases, 41 cases suffered various sym ptom s preoperatively, 10 cases diagnosed in
cidently tracheo ronchogenic cyst during X plain screening and m edical exam ination. 43 patients w ere diagnosed preoperatively as neuro
genic tum or, thymoma, lung cancer andm ediastinal tum or. 8 patientsw ere diagnosed correctly. Postoperative all patients received a unin
cidence course. The sym ptom s disappeared in 45 cases and the sym ptom s of 5 cases rem ained postoperatively. 1 patient recurred 3 years
later, whow as healed y m eans of reoperating. The rem ainder of the patients did not recur until now. Conclu sion Surg ical therapy is the
m ost optmi al alternative for congenital tracheo ronchogenic cyst ofm ediastinum. Ithelps to m ake diagnosis, to relieve the sym ptom s and to
guard against the com plications and mi prove the prognosis of the patients.
K ey w ord s congenita;l m ediastinum; tracheo ronchogenic cyst
1980 ( 39% ), 10( 196% ) : 51
1~ 2008 10, 51 X
,
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