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find Keyword "神经源性肿瘤" 3 results
  • 电视胸腔镜手术治疗后纵隔良性神经源性肿瘤

    目的 探讨电视胸腔镜手术切除后纵隔良性神经源性肿瘤的临床疗效和价值。 方法 回顾性分析德阳市人民医院2008年3月至2012年4月运用电视胸腔镜手术切除后纵隔良性神经源性肿瘤24例的临床资料,其中男17例、女7例,年龄17~71 (41.25±14.78)岁;分析其安全性、有效性和危险性。 结果 全组24例均顺利完成手术,手术时间(114.25±52.30) min,手术出血量(214.45±123.12) ml,术中、术后输血2例,术后胸腔闭式引流时间(2.75±1.42) d,术后住院时间(7.25±3.26) d。全组24例中,19例在全胸腔镜下完成,3例哑铃型神经源性肿瘤采用胸腔镜联合背部小切口切除,2例中转开胸,中转开胸手术率8.33%。术后轻微并发症3例,无围手术期死亡。术后病理检查示神经鞘瘤10例,神经纤维瘤9例,神经节细胞瘤5例。术后24例均进行了随访,随访时间(21.23±18.56) 个月,全组均生存,无复发。 结论 利用电视胸腔镜手术治疗后纵隔良性神经源性肿瘤安全、有效,但应严格掌握手术适应证及合理的手术方式,熟练掌握电视胸腔镜手术治疗后纵隔良性神经源性肿瘤的手术技巧,能有效地降低手术风险。

    Release date:2016-08-30 05:45 Export PDF Favorites Scan
  • 后纵隔神经源性肿瘤的外科治疗

    目的 探讨后纵隔神经源性肿瘤的临床特点和外科治疗策略,提高手术疗效。 方法 回顾性分析2003年8月至2008年8月收治的26例后纵隔神经源性肿瘤患者的临床资料,男16例,女10例;年龄12~68岁,平均年龄41.8岁。其中9例患者行常规开胸手术, 17例在胸腔镜辅助下完成手术。累及椎管的哑铃型肿瘤5例,4例经后路椎管和侧胸两切口完成切除手术,1例直接经后胸径路手术。 结果 肿瘤位于纵隔右侧15例,左侧11例。肿瘤平均直径4.9 cm。神经鞘瘤19例(73%),其中包括1例神经纤维瘤病,节细胞神经瘤6例(23%),原始神经外胚层肿瘤1例(4%)。无手术死亡,其中2例哑铃型肿瘤患者因有轻微脑脊液漏,出现不同程度的头痛,2例患者因损伤一侧T4以上交感神经干,出现一侧上肢无汗。随访26例,随访时间2个月~5年,所有患者随访期间影像学检查未见肿瘤复发,无不适,恢复正常工作、生活。 结论 多数后纵隔神经源性肿瘤可经胸腔镜辅助完整切除,但对累及椎管内和胸廓出口处肿瘤应注意术前仔细评估,并进行有针对性的手术设计。

    Release date:2016-08-30 06:06 Export PDF Favorites Scan
  • Clinical efficacy of robot-assisted thoracoscopic surgery for posterior mediastinal neurogenic tumour

    ObjectiveTo evaluate the short-term outcome of robot-assisted thoracoscopic surgery (RATS) for the treatment of posterior mediastinal neurogenic tumour. MethodsThe clinical data of consecutive patients with mediastinal neurogenic tumors who received RATS treatment completed by the same operator in the Department of Thoracic Surgery, Gansu Provincial People's Hospital from June 2016 to June 2022 were retrospectively analyzed. The tumors were preoperatively localized and evaluated using magnetic resonance imaging or enhanced CT. Results A total of 35 patients were enrolled, including 19 males and 16 females with a mean age of 34.9±7.1 years. All patients successfully completed the resection of posterior mediastinal neurogenic tumors under RATS, and no conversion to thoracotomy occurred during the operation. The average operative time was 62.3±18.0 min, docking time was 10.3±2.6 min, intraoperative bleeding was 33.9±21.6 mL, postoperative 24-hour chest drainage was 69.0±28.9 mL, postoperative chest drainage time was 2.0 (1.0, 3.0) d and the postoperative hospital stay was 3.0 (2.0, 4.0) d. Postoperative complications occurred in 3 patients, including 2 patients with transient Honor syndrome and 1 patient with transient anhidrosis of the affected upper limb. ConclusionRATS for posterior mediastinal neurogenic tumours is safe, effective and feasible, and allows the full benefit of the robotic surgical system to be exploited.

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