摘要
报告1984年7月至1994年7月收治19例胸膜结核球的诊断和手术治疗经验。19例中40岁以下者16例。症状以胸痛、胸闷多见。9例曾患结核性胸膜炎。影像学检查均表现为球形或类圆形阴影,术前12例明确诊断。19例均经手术切除。随访表明术后无一例复发。作者认为病史、影像学检查对本病诊断有重要作用,胸膜结核球外科疗效好。
Thispapersummarizedtheexperienceonthediagnosisandtreatmentof19casesofpleuraltuberculoma.Materialsandmethod,Thisgroupofpatientsconsistedofl5malesand4females,aged18-52yearsold,with16patientsundertheageof40.Chestpainandtightnesswerethemainsymptoms.Nineofthe19patientssufferedfromtuberculouspleurisy.Chestradiologicalexaminatio.re-vealedsphericalorspheroidshadowintherightchestin14cases,intheleftin5.ThislesionlocatedinehecostophrenicangleinI0,onthelateralchestwallin5,incheinter-lobarfissurein3andabovethediaphragmin2.Tworoundshadowswerepresentin1case.Resectionoftheroundlesionswereper-formedonallofthepatients.Thepostoperativediagnosiswasconfirmedbypathologicalsectionsoftheresectedspecimens.Resttlts,Norecurrenceofthetuberculomawasobservedinanyofthepatietttsdur-ingth.follow-upsurveys.Theauthorsbelievethatthecasehistoryandchestradiologicalfindingsareveryimportatntinestablishingthediagnosis.Resectionaltherapyisthetreatrnentofchoiceandisusuallyrewardedwithgoodprognosis.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1996年第5期298-299,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery