目的 :探讨肺部肿瘤样结节的临床特点、诊断与外科治疗。方法 :对 1 2 6例肺部肿瘤样结节的临床资料进行回顾性分析。结果 :均行手术治疗 ,无术后并发症和死亡 ,术前仅30例 (2 3 8% )诊断正确 ,6 4例 (5 0 8% )疑为肺癌 ,4例误诊为转移癌 ,2 8例考虑肺部良性肿瘤。结论 :该病临床症状及影像学改变缺乏特异性 ,易与肺癌混淆 ,术前胸部CT或MRI、纤维支气管镜及经皮肺穿刺活检均对本症的诊断与鉴别诊断有帮助 ,应积极外科手术 ,获得肿物的细胞学和组织学诊断 ,以指导合理的治疗。术式以局部切除和肺叶切除为主 ,尽量多保留正常肺组织。电视胸腔镜的应用 ,使其治疗更趋合理 Objective: To investigate the clinical features, diagnosis and surgical treatment of pulmonary tumor-like nodules. Methods: The clinical data of 126 cases of pulmonary tumor-like nodules were retrospectively analyzed. RESULTS: Thirty patients (23.8%) were diagnosed correctly before operation, no postoperative complication and death, 64 (58.0%) were suspected to be lung cancer, 4 were misdiagnosed as metastatic cancer, 2 8 cases consider benign lung tumors. Conclusion: The clinical symptoms and imaging changes of the disease lack of specificity, easily confused with lung cancer, preoperative chest CT or MRI, bronchoscopy and percutaneous lung biopsy are helpful in the diagnosis and differential diagnosis of this disease should be active surgical , Get cytology and histological diagnosis of the tumor, to guide the rational treatment. Local surgical resection and lobectomy based, as much as possible to retain normal lung tissue. The application of video-assisted thoracoscopy makes the treatment more reasonable