8例老年上纵隔囊肿微创介入诊治临床研究

发布时间：2018-03-20 22:03

本文选题：纵隔囊肿　切入点：纤维支气管镜　出处：《吉林大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：研究经纤维支气管镜针吸微创介入方法对老年上纵隔囊肿诊治的临床应用。方法：回顾性分析2003年06月至2012年08月吉林大学第二医院呼吸内科收治的8例纵隔囊肿患者的临床资料，均应用日本OLYMPUSBF1T260型电子纤维支气管镜和日本OLYMPUS BFN1C细胞学穿刺针行针吸活检和穿刺排液治疗，并进行随访观察疗效。结合文献资料，进行相关分析。结果：8例纵隔囊肿患者年龄60-78岁，其中男6例，女2例。有症状3例，无症状5例。胸部影像学显示均为上纵隔囊肿。经细胞学病理检查，均排除恶变可能，对其进行细针穿刺排液治疗后，随访6个月均未复发。结论：对老年上纵隔囊肿患者，经纤维支气管镜针吸微创介入疗法的可行性、安全性、有效性均良好，可作为首选治疗方案。在排除恶性病变的同时，可对囊肿进行穿刺排液治疗，在部分患者中疗效良好。对于复发患者，，推荐硬化剂的使用。
[Abstract]:Objective: to study the clinical application of minimally invasive interventional method with fiberoptic bronchoscope in the diagnosis and treatment of superior mediastinal cyst in the elderly. Methods: the clinical data of 8 patients with mediastinal cysts treated in Department of Respiratory, second Hospital of Jilin University from June 2003 to August 2012 were retrospectively analyzed. All patients were treated with OLYMPUSBF1T260 electronic fiberoptic bronchoscope and OLYMPUS BFN1C cytological puncture needle, and followed up to observe the curative effect. Results the age of 8 cases of mediastinal cyst was 60-78 years old, including 6 males, 2 females, 3 symptomatic cases and 5 asymptomatic cases. The chest imaging showed that all of them were upper mediastinal cysts. After fine needle puncture and drainage treatment, there was no recurrence after 6 months follow-up. Conclusion: in elderly patients with superior mediastinal cysts, minimally invasive interventional therapy via fiberoptic bronchoscopy is feasible, safe and effective, and can be used as the first choice of treatment. The cysts can be treated by puncture and drainage, which has a good effect in some patients. Sclerosing agent is recommended for recurrent patients.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R564

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