【摘要】 目的 总结中纵隔肿瘤的病理特点和手术经验。方法 2018～2022年我院胸外科行手术治疗的中纵隔肿瘤病人9例，8例行根治性手术切除，1例行纵隔肿瘤活检术。其中5例行胸腔镜手术，4例行开放手术。结果 9例病人的病理类型中，2例为纵隔囊肿，1例为Castleman病，1例为下咽癌纵隔淋巴结转移，1例为神经鞘瘤，1例为神经纤维瘤，1例为副神经节瘤，1例为血管脂肪瘤，1例为未分化癌。所有人均康复出院。结论 手术切除是中纵隔肿瘤的重要治疗手段。手术治疗既要追求切除的彻底性，还要注重器官保护。更多还原

【Abstract】 Objective To review the experience approaching middle mediastinal mass by surgery.Method Clinical data of 9 patients with middle mediastinal mass who were treated in between 2018 to 2022 in Tongji hospital were retrospectively analyzed.8 cases underwent radical resection and 1 case underwent mediastinal tumor biopsy.5 mediastinal tumors were operated by video-assisted thoracoscopic surgery(VATS),and 4 cases required conversion thoracotomy.Result Histologic diagnosis was mediastinal cysts in 2 cases, Castleman disease in 1 case, metastatic lymphadenopathy in 1 case, neurogenic tumors in 3 cases(Schwannoma in 1 case, Neurofibroma in 1 case, and Paraganglioma in 1 case),angiolipoma in 1 case and undifferentiated malignant tumors in 1 case.All recovered and were discharged from hospital.Conclusion Surgical resection is an important treatment for mediastinal tumors. Surgical treatment should not only pursue the thoroughness of excision, but also pay attention to organ protection.更多还原