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目的 :总结分析我院胸科1986年1月～1998年12月收治178例肺部炎性假瘤临床诊治情况。方法 :本组178例中 ,保守治疗9例 ,手术切除169例。结果 :肺部炎性假瘤的诊断极为困难常误诊为肺癌 ,其症状与肺癌相似 ,表现最多的是胸痛和血痰 ,X线为肿块 ,最终诊断依据病理检查。临床诊断为炎性假瘤者 ,少数保守治疗可以治愈。抗炎治疗短期无效者 ,应采取积极手术切除 ,尤其是肿瘤>3cm者。手术原则是最大限度保留正常肺组织。结论 :本病预后良好 ,应提出的是肺部炎性假瘤有恶变的可能 ,应定期随访。
Objective: To summarize and analyze the clinical diagnosis and treatment of 178 cases of pulmonary inflammatory pseudotumor in our hospital from January 1986 to December 1998. Methods: 178 cases in this group, conservative treatment in 9 cases, 169 cases of surgical resection. Results: The diagnosis of pulmonary inflammatory pseudotumor is very often misdiagnosed as lung cancer. The symptoms are similar to those of lung cancer. The most common manifestations are chest pain and bloody sputum, and the X-ray is a lump. The final diagnosis is based on pathological examination. Clinical diagnosis of inflammatory pseudotumor, a small number of conservative treatment can be cured. Anti-inflammatory treatment of short-term ineffective, should take active surgical resection, especially those with tumor> 3cm. The principle of surgery is to maximize the retention of normal lung tissue. Conclusion: The prognosis of this disease is good, should be made of lung inflammatory pseudotumor may malignant, should be regularly followed up.