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为4例恶性胸腺瘤合并上腔静脉综合征病人施行胸腺瘤切除、上腔静脉部分切除、静脉腔内瘤栓清除及采用不同的成形手术方式恢复上腔静脉回流。术中上腔静脉阻断20~47 min,术后上腔静脉阻塞征症状完全消失,无并发症发生,术后经放疗、化疗等综合治疗。2例病人3年后死亡;2例术后尚存活,生存期分别为27、17个月。该手术扩大了纵隔肿瘤侵犯上腔静脉的切除率,同时提高了患者的生活质量及生存率。
Four patients with malignant thymomas combined with superior vena cava syndrome were treated with thymoma resection, partial resection of the superior vena cava, removal of the intraluminal tumor embolus, and the use of different procedures to restore superior vena cava regurgitation. During the operation, the superior vena cava was occluded for 20 to 47 minutes. The postoperative symptoms of superior vena cava obstruction disappeared completely, no complications occurred, and postoperative radiotherapy, chemotherapy, and other comprehensive treatment were performed. Two patients died after 3 years; 2 patients survived after surgery and their survival periods were 27 and 17 months, respectively. The operation expanded the resection rate of mediastinal tumors invading the superior vena cava, while improving the patient’s quality of life and survival.