摘要
目的 分析肺错构瘤的临床特征和外科治疗。方法 收集本院胸外科手术治疗并经病理证实为肺错构瘤 75例。分析其症状、病程、影像特征、外科治疗等 ;6 9例进行了 6个月～ 2 2年的随访。结果 患者年龄大多为 30～ 6 0岁 ,30岁以下仅 6例。 48例 (6 4% )无临床症状 ,9例有咳嗽或胸痛不适 ,6例有血痰 ,3例咯血。X线或 /和 CT显示孤立的圆形或卵圆形阴影。 0 .5 cm～ 8.8cm大小 ,<3cm者占 76 % ,3例显示肺不张。结论 肺错构瘤多为局部发育异常 ,致使正常支气管组织在数量和排列上发生异常。它与肺癌难予鉴别 ,是不可逆转的病变 ,应采用外科手术治疗。
Objective To analyze the clinical characteristics and sugical treatment of pulmonary hamartoma.Methods 75 cases of pulmonary hamartoma confirmed by pathology received operation. Their clinical data including symptoms, disease course, image characteristics and the surgical treatments and reults were analyzed. The prognostic results of 69 cases (93.3%) were followed up for 6 months to 22 years. Results Most of patients were 30～60 yrs. and only 6 cases<30 yrs.48 cases (64%) had no clinical symptoms. 9 cases had cough or chest pain and nucomforts 6 cases had bloody sputum and 3 cases had hemoptysis. on X ray or/and CT, the tumor showed a solitary oval or round shadow of 0.5～8 8 cm. among them 76% were <3 cm.Atelectasis was seen only in 3 casa.Conclusion Hamartoma is a developmental error that produces an abnormal arrangement and mixture of normal tissue of bronchi. It is difficult to be differemtiated from lung cancer. The disease course cannot be reversed ,so surgical treatment is the metod of choice.
出处
《肿瘤》
CAS
CSCD
北大核心
2000年第5期360-361,共2页
Tumor
关键词
肺肿瘤
肺错构瘤
外科治疗
Lung neoplasms/surgery
Pulmonary hamartoma
