肺内球形病灶150例临床分析  

Clinical Analysis for Intrapulmonary Global Focus: A Report of 150 Cases

作　　者：赵晓峰[1] 

机构地区：[1]内蒙古呼和浩特铁路局中心医院,010050

出　　处：《实用全科医学》2005年第1期38-39,共2页Applied Journal Of General Practice

摘　　要：目的　探讨肺内球形病灶的诊断方法。方法　我院近十年以“肺结核”收治、胸片或CT表现呈球形病灶的病例 15 0例 ,从临床表现、病灶大小、发生部位、影象学检查以及病种分类进行了综合分析。结果　肺内球形病灶的发生率依次为肺结核、肺癌、炎性假瘤、肺内其它良性肿瘤。各病种中球灶大小及部位各有差异。肺结核瘤多小于 2cm ,好发于上叶尖后段和下叶背段。肺癌多大于 3 .5cm ,以上叶前段和肺门周围多见。病灶在 2 .5～ 3 .5cm的多见于炎性假瘤和肺内其它良性肿瘤。结论　通过分析总结以便提高鉴别诊断水平 ,在临床工作中减少误诊。Objective To study the diagnosis of intrapulm onary global focus. M ethods 150 cases with intrapulmonary global focus showed in chest X-r ay or CT p hotograph were referred. All the cases were accepted as tuberculosis (TB) in our hospital in recent ten years. The data of clinical manifestation, focus size, f ocus position, imaging finding and classifies of disease were analyzed retrospec tively. Results The global focuses in lung, according to the i ncidence, are TB, lung cancer, inflammation tumor, and other benign tumors. There was difference in the size and position of focus. The sizes of focuses in TB were often smaller than 2cm, and were observed mostly in posterior segment of upper lobe and poste rior segment of lower lobe. The sizes of focuses in lung cancer were often bigge r than 3.5cm, and were observed mostly in anterior segment of upper lobe and hil um of lung around. Focuses of 2.5～3.5cm were mostly observed in inflammation tu m or and other benign tumor. Conclusions On the analysis of the size and position of focus, we can improve the diagnosis level and reduce the rate of misdiagnosi s.

关 键 词：病灶 炎性假瘤 肺结核瘤 肺癌 良性肿瘤 肺门 病种分类 影象学检查 胸片 临床工作 

分 类 号：R734.2[医药卫生—肿瘤] R735[医药卫生—临床医学]