摘要
目的分析肺错构瘤的临床特征和外科治疗。方法对21例肺错构瘤患者的临床表现、影象学特征、手术方法进行分析。结果21例患者中有症状者10例,X线和CT均显示:肿瘤的形态和大小,11例有钙化。术前诊断为肺错构瘤8例,肺结核6例,肺癌4例,肺炎性假瘤3例。手术方式:肺错构瘤摘除3例,肺楔形切除10例,肺段切除3例,肺叶切除5例。随访无1例复发。结论肺错构瘤理想的疗法是手术切除,微创切口和胸腔镜手术可作为较好手术途径。
Objective To analyze the clinical features and surgical treatment of pulmonary hamartoma. Methods from 1989 to 2002, 21 cases with pulmonary hamartomas were confirmed by pathology and received surgical treatment. Their data including clinical manifestation, image characteristic and operation methods were investigated retrospectively. Results 10 cases of them had new onset of respiratory symptoms. The examination of X - ray and CT showed that: Tumor diameters were 2cm in lOcases, 2cm to 3cm in 5 cases, 3cm in 6 cases. Calcification was found in 11 cases. 8 cases of pulmonary hamartomas had been diagnosed before operation. In the rest, 6 cases were diagnosed as lung tuberculoma, 4 cases were diagnosed as lung cancer, 3 cases were diagnosed as pulmonary inflammatory pseudotumor before operation. The operation methods were enucle-ation (3 cases), wedge resection of lung (10 cases), segment resection of lung (3 cases), pulmonary lobectomy (5 cases). All patients were follow-up and recurrence was not found. Conclusions Pulmonary hamartoma is a kind of benign lung neoplasms. The tumor excision is a good method to cure it. The thoracotomy through mini - incision and video- assisted thoraco-scopic are preferred operative approach.
出处
《实用全科医学》
2005年第2期113-114,共2页
Applied Journal Of General Practice
