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目的 探讨肺炎性假瘤的临床特点、诊断及手术治疗。方法 回顾性分析 2 3例肺炎性假瘤的临床资料。结果 全组手术前诊断为本病者 10例 (4 3 4% ) ,误认为肺癌 11例 (4 7 8% ) ,误诊为结核球、纵隔肿瘤各 1例。行肺叶切除 14例 ,肺段切除 1例 ,楔形切除 6例 ,假瘤摘除 2例 ,均痊愈出院。结论 本病从临床症状及影像学上很难与肺癌鉴别 ,纤维支气管镜及CT引导下经皮肺穿刺活检是术前诊断本病的重要手段。强调选择术式应以术前或术中病理学诊断为依据 ,避免过多切除正常的肺组织
Objective To investigate the clinical features, diagnosis and surgical treatment of pulmonary inflammatory pseudotumor. Methods The clinical data of 23 cases of pulmonary inflammatory pseudotumor were retrospectively analyzed. Results The whole group was diagnosed as 10 cases (43.4%) before surgery, 11 cases (478%) were mistaken for lung cancer, and 1 case was misdiagnosed as tuberculoma and mediastinal tumor. 14 cases of lobectomy, segmental segmental resection in 1 case, wedge resection in 6 cases, pseudotumor removal in 2 cases, were cured and discharged. Conclusion This disease is difficult to differentiate from lung cancer from clinical symptoms and imaging. Percutaneous lung biopsy guided by fiberoptic bronchoscopy and CT is an important method for preoperative diagnosis of this disease. Emphasize that surgical procedures should be preoperative or intraoperative pathological diagnosis as the basis to avoid excessive resection of normal lung tissue