中国胸心血管外科临床杂志2023年3月第30卷第3期·325··指南与规范·2022纵隔及胸壁肿瘤围手术期及全程化综合诊治中国专家共识■日中国医师协会胸外科医师分会纵隔及胸壁学组，中国研究型医院学会胸外科学专业委员会，中国医疗保健国际交流促进会肺癌防治分会，浙江省医学会胸外科学分会，浙江省医师协会胸外科医师分会，2022纵隔及胸壁肿瘤围手术期及全程化综合诊治中国专家共识专家组浙江大学医学院附属第一医院普胸外科浙江省医疗器械临床评价技术研究重点实验室（杭州310003）【摘要】为进一步规范纵隔及胸壁肿瘤的全程化诊治工作，2022纵隔及胸壁肿瘤围手术期及全程化综合诊治中国专家共识专家组讨论制定了本共识。依据纵隔及胸壁肿瘤的临床诊治经验和各项前瞻性及回顾性研究总结形成规范诊疗共识，同时对证据不足或需进一步材料支持的诊疗内容提请关注，以期通过后期临床研究及相关数据进一步充实、更新共识。【关键词】胸部肿瘤；纵隔肿瘤；胸壁肿瘤；胸外科；专家共识2022 Chinese expert consensus on perioperative and whole-course diagnosis andtreatment of mediastinal and chest wall tumorsMediastinum and Chest Wall Group of Thoracic Surgeon Branch of Chinese Medical Doctor Association.Thoracic Surgery Committee ofChinese Research Hospital Association,Lung Cancer Prevention Branch of China Inter national Exchange and Promotive Association forMedical and Health Care.Thoracic Surgery Branch of Zhejiang Medical Association.Thoracic Surgeon Branch ofZhejiang Medical DoctorsAssociation,Expert Group on 2022 Chinese Expert Consensus on Perioperative and Whole-course Diagnosis and Treatment of Mediastinaland Chest Wa.置TumnorsDepartment of Thoracic Surgery.The First Affiliated Hospital,Zhejiang University School of Medicine.Key Laboratory of ClinicalEvaluation Technology for Medical Device ofZhejiang Province,Hangzhou,310003,P.R ChinaCorresponding author HU Jian,Email:dr_hujian@zju.edu.cnAbstract]Mediastinal and chest wall tumors contain various benign and malignant tumors.In order to furtherstandardize the whole-course diagnosis and treatment of mediastinal and chest wall tumors,the consensus was formulatedthrough discussion by the expert group.Based on the clinical diagnosis and treatment experienceand various prospectiveand retrospective studies,the consensus was formed.Key words Chest tumor;mediastinal tumor;chest wall tumor;thoracic surgery;expert consensusFoundation items:Research Center for Lung Tumor Diagnosis and Treatment of Zhejiang Province(JBZX-202007);Major Science and Technology Projects of Zhejiang Province(2020C03058)纵隔肿瘤涵盖多种良、恶性肿瘤类型，其临鉴于纵隔及胸壁肿瘤诊治的复杂性，采取床诊治复杂，需要在明确诊断的基础上采取针对性多学科全程化综合诊治手段是改善纵隔及胸壁肿的治疗措施。胸壁肿瘤包括原发性和转移性肿瘤，瘤患者预后的重要途径。为此，专家组检索了其中转移性胸壁肿瘤约占70%。胸壁肿瘤诊治的PubMed、Web of Science等外文数据库以及万方数特殊之处在于术前评估手术范围与方式的同时，还据、中国知网等中文数据库（检索时间截至需要评估后期进行胸壁重建的必要性。2022年12月10日)，选取其中证据级别较高的研究进行分析，结合临床经验，最终就19条推荐意见达成共识。D0:10.7507/1007-4848.202212063基金项目：浙江省肺部肿海诊治技术研究中心(JBZX-202007):本共识的推荐强度包括4类：I类：强烈推浙江省重大科技专项计划项目(2020C03058)荐，证据强度高等，专家组一致同意：ⅡA类：推通信作者：胡坚，Emal:dr_hujian@zju.edu.cn本共识设“附杀”部分，其相关临床实巍已于部分中心开展，但荐，证据强度中等，专家组已达成共识；ⅡB类：尚无大规模前赠性研究证据，旨在引导后续相关研究的论证，也为共识的更新提供指导依据。推荐，证据强度低等，专家组基本同意，基本达成http://www.tcsurg.org
