摘要
目的：探讨肺部炎性假瘤的临床特点、诊断及外科治疗。方法：对４２例肺部炎性假瘤的临床资料进行回顾性分析。结果：全组均行手术治疗，无术后并发症和死亡，术前仅１８例（４２．９％）诊断正确；余２４例中２０例疑为肺癌，４例误诊为结核瘤或良性肿瘤。结论：该病病程长，症状较轻。从临床症状和影像学上很难与肺癌鉴别。强调术前纤维支气管镜和经皮肺穿刺检查十分重要。肺部炎性假瘤虽属良性，亦应尽早手术治疗。术式以局部切除和肺叶切除为主，尽量多保留正常肺组织。
Aim:To review the experience of
surgical management of pulmonary inflammatory pseudotumors.Clinical material and
method:From 1985 to 1995,42 patients with pulmonary inflammatory pseudotumor were treated
surgically.There were 30 males and 12 females with a mean age of 49 years.All patients
received surgery including wedge resection in 15 cases,lobectomy in 23,pneumonectomy in 1
and excision of tumor in 3.Results:There was no postoperative morbidity and mortality.20
cases(47.6%) were misdiagnosed as lung cancer before surgery and four patients were
suspected having tuberculoma and other benign lung tumor.Correct diagnosis was only made in
18 patients(42.9%).Conclusion:Preoperative diagnosis of pulmonary inflammatory pseudotumor
is quite difficult.Surgery should be performed as soon as diagnosis be made.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1999年第3期160-161,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
炎性假瘤
肺癌
治疗
外科手术
Pulmonary inflammatory pseudotumorLung cancerSurgery,operative management
