摘要
目的 研究 42例肺错构瘤的临床特点、诊断要点、病理特点和治疗。方法 应用回顾性调查的方法对肺内及支气管腔内型错构瘤进行分析。结果 经手术病理证实错构瘤 42例 ,男∶女比例为 1 2∶1,中位年龄 5 2岁 ,6 0 %体检胸部X线检查时发现病灶。左肺∶右肺为 1 1∶1。胸片及胸部CT中 2 5 %有散在斑点状钙化。 3例术前诊断为肺错构瘤 ,其余分别误诊肺癌、肺结核、肺囊肿等 ,误诊率 93% (39/4 2例 )。结论 由于肺错构瘤的术前误诊率甚高 ,本文从临床特点、诊断要点、病理特点并结合临床最易误诊的肺癌、肺结核及其他肺部良性肿瘤等展开鉴别诊断 ,有助于进一步提高确诊率和治疗方案的制订。
Objective To analyze the clinical features, pathological charct eristics, the diagnosis and treatment of pulmonary harmatome.Methods 42 cases of pulmonary and bronchial harmatoma admitted during 1993～1999 were retrospectively reviewed and their clincial and pathologic features and the diagnosis and treatment were analyzed. Results Most of pulmonary harmatoma had no apparent clinical sysptons and 62% were discovered in physical examination of chest. The ratio of site of lesions in left lung to right lung was 1.1∶1. In 25% of all chest x ray and CT films, scatterred spot lke calcifications were found. 3 cases were diagnosed as pulmonary harmatoma while the others were mis diagnosed as lung cancers,pulmonary tuberculosis and cysts, et al. The rate of miss diagnosis was 93% (39/42 cases). Conclusion Pulmonary harmatoma is one of the most common benign tumors but the rate of pre operative diagnosis is high. Therefore,the clinical course of the disease,the characteristics of x ray and CT images and the pathologic examinations must be carefully studied.$$$$
出处
《肿瘤》
CAS
CSCD
北大核心
2001年第5期380-381,共2页
Tumor
关键词
肺错构瘤
临床分析
鉴别诊断
肺肿瘤
Pulmonary hemortoma
Clinical analysis
Differentiation
