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1、岭南现代临床外科2005年12月第5卷第4期LingnanModernClinicsinSurgery,Dec.2005,Vol.5No.4279以下情况则必须使用补片成形术:1.颈动脉直径<通外科杂志,2003,6:443～445.5mm;2.颈动脉内膜切除段>3cm;3.严重的动脉3.GrgaA,HebrangA,BrkljacicB,etal.Asymptomaticcarotidstenosis:selectiveorroutineuseofintraluminal扭曲成角。shunt.JCardiovascSurg,2001,42:657～662.参考文献4.AliF,Aburahm
2、aRVT,PatrickA,etal.Prospective1.郭大乔,王玉琦.颈动脉内膜切除术的历史、现状和未controlledstudyofcarotidendarterectomywith来.中国临床医学,2001,4:191～193.Hemashieldpatch:isitthrombogenic?VascularSurgery,2.陈学东,王育红.颈动脉内膜剥脱术的临床应用.中国普2001,35:167～174.纵隔巨大淋巴结增生症的诊断和外科治疗李树本何建行杨运有陈汉章韦兵殷伟强成向阳广东省广州呼吸疾病研究所胸外科(510120)!摘要"目的为了提高对纵隔巨大淋巴结增生症的认识,
3、探讨其诊断方法和外科治疗特点。方法从19[9年3月～2004年6月通过6例经我科手术诊治的纵隔巨大淋巴结增生症的病例分析,结合文献复习,对本病的临床特点,影像学表现,诊断及手术治疗进行讨论。结果6例病理均为透明血管型巨大淋巴结增生症,术后病理诊断与术前诊断相符率为33.3(2]6),随访5月～[年,均无复发。结论纵隔巨大淋巴结增生症为罕见病,术前诊断率低,诊断依靠病理组织学确定,本病首选治疗为手术切除,预后良好。!关键词"巨大淋巴结增生症纵隔诊断外科中图分类号#654.7文献标识码#A文章编号#1^^9_976‘$2005%04_0279_03Diagnosisandsurgicalream
4、enofmediasinalgianlymphnodehyperplasiaLIShu_ben,HEJian_xing,YANYun_you,etal.DepartmentofThoracicSurgery,uangzhouInstituteofRespiratoryDisease,uangzhou510120+Absrac,ObjeciveToimprovetherecognitionofmediastinalgiantlymphnodehyperplasia(GLNH)andinvestigateitZsdiagnosticmethodandfeatureofsurgicaltreatme
5、nt.MehodsFromMarch19[9toNovember2004,6caseswithmediastinalGLNHreceivedsurgicaltreatmentwereanalyaedretrospectivelyandcombinedwithliteratureswerereviewed.btwasdiscussedintheclinicalfeature,imagingmanifestation,diagnosisandoperativetreatment.ResulsThepathologicdiagnosiswastransparentvasculartypeGLNHin
6、allcases.Coincidentalratebetweenpostoperativepathologicdiagnosisandpreoperativediagnosiswere33.3(2]6).Siccaseswerefollowedupfrom5monthsto[years,andnorecurrencewasfound.ConclusionMediastinalGLNHisararedisease.btZspreoperativediagnosticrateisverylow.Accordingtothepathohistologicbiopsy,thediagnosiscan
7、beconfirmed.dperationisthefirstchoiceforGLNHanditZsprognosisisverywell.+Keywords,Giantlymphnodehyperplasia;Mediastinum;Diagnosis;Surgery巨大淋巴结增生症又称CastlemanZsdisease[1]低,故就其诊断方法、外科治疗特点进行讨论如下。,是一种罕见的、病变
