肺硬化性血管瘤的诊断与治疗  

Diagnosis and treatment of pulmonary sclerosing hemangioma

作　　者：郭占林[1] 袁天柱[1] 李代蓉[1] 刘伦旭[1] 王允[1] 伍伫[1] 赵雍凡[1] 杨俊杰[1] 周清华[1] 

机构地区：[1]四川大学华西医院四川省肺癌分子重点实验室,胸外科,成都610041

出　　处：《中国肺癌杂志》2004年第6期515-516,共2页Chinese Journal of Lung Cancer

摘　　要：目的　探讨肺硬化性血管瘤的诊断与治疗 ,提高对肺硬化性血管瘤的认识。方法　回顾分析了 2 1例肺硬化性血管瘤的临床特征、影像特点及治疗方法。结果　 2 1例患者术前无 1例确诊。全组平均年龄 48.0岁 ,其中女性 18例 (85 .7% ) ,无症状患者 12例 (5 7.1% )。胸部X线片多表现为肺内边缘清晰的圆形或类圆形结节影 ,密度均匀。全部患者均行手术治疗 ,无手术并发症和手术死亡 ,术后随访无复发转移。结论　肺硬化性血管瘤临床症状和影像学无特异性 ,术前确诊极为困难。对中老年女性 ,尤其是胸部X线片表现为密度均匀、境界清楚、边缘光滑的圆形或类圆形结节者应考虑本病。手术治疗是肺硬化性血管瘤的有效治疗方法。Objective To investigate the diagnosis and treatment of pulmonary sclerosing hemangioma (PSH). Methods The clinical features, radiographic manifestations and treatment of 21 patients with PSH were reviewed. Results None of the 21 patients was diagnosed as PSH preoperatively. There were 18 females and 3 males, and the average age was 48.0 years in this group. Twelve patients were symptom free. The plain chest roentgenograms showed a well defined, homogeneous, round or oval nodulous shadow in most cases. All patients received operation. There was no postoperative morbidity and mortality. Postoperative follow-up showed a good prognosis. Conclusion Preoperative diagnosis of PSH is quite difficult. PSH should be suspected in middle to old aged female patients who show a well defined, homogeneous, round or oval shadow in plain chest roentgenograms. PSH has a good prognosis if it is treated surgically.

关 键 词：肺硬化性血管瘤 诊断 外科治疗 

分 类 号：R734.2[医药卫生—肿瘤]