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目的:探讨孤立性胸膜纤维瘤的诊治经验。方法:自1990年1月~2004年2月我科共收治9例胸膜纤维瘤患者,其中7例患者有血性胸水,均行手术治疗,对有胸腔积液者行胸腔闭式引流。结果:切除肿瘤重量150~7 800 g,均有完整包膜,患者均顺利出院,无死亡和并发症发生。随访2~15年,无一例复发。结论:孤立性胸膜纤维瘤突出的临床特点是血性胸水,通常有完整的包膜且易于切除,手术治疗安全有效。
Objective: To investigate the diagnosis and treatment of solitary pleural fibroma. Methods: From January 1990 to February 2004, 9 patients with pleural fibroids were treated in our department. Among them, 7 patients had bloody pleural effusion. All patients underwent surgical treatment. Thoracic drainage was performed on patients with pleural effusion. Results: The tumors were excised from 150 to 7 800 g, with complete envelopment. All patients were discharged smoothly without death and complications. Follow-up 2 to 15 years, no case of recurrence. Conclusion: The prominent clinical feature of solitary pleural fibroma is bloody pleural effusion. It usually has a complete envelop and is easy to be excised. Surgical treatment is safe and effective.