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- W2325231444 abstract "縦隔リンパ節結核は比較的稀な疾患である.自験12例を対象に臨床的問題, 特に開胸術の適応と手技上の問題点について検討した.男女差はなく, 平均年齢は33歳と比較的若年に多かった.病巣部位は右10例, 左2例と圧倒的に右に多く, 右の全例が傍気管に, 左の2例はそれぞれボタロ, 前縦隔であった.診断上は悪性リンパ腫や縦隔腫瘍との鑑別が問題となった.診断確定には右縦隔では縦隔鏡, 左縦隔では傍胸骨切開が, また頸部リンパ節と連続性を有している場合には頸部リンパ節生検が有用であった.開胸術は3例に行なわれたが癒着が強固で完全切除は全例で不可能であったのに加え, 血管損傷が1例に, 横隔神経麻痺が2例にみられた.開胸は診断上やむを得ない場合に限り行なうべきであり, 且つ完全切除は必ずしも必要ではない.化学療法は極めて有効で, 非開胸例の多くは6～9ヵ月の化学療法で陰影の消失が得られた." @default.
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- W2325231444 date "1992-01-01" @default.
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- W2325231444 title "Mediastinal tuberculous lymphadenitis; a clinical study of twelve cases." @default.
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