22例肺硬化性血管瘤影像学分析  

Radiological findings of pulmonary sclerosing hemangioma:22 cases analysis

作　　者：许亚春[1] 吴平[1] 刘向东[1] 谢雪芬[1] 

机构地区：[1]南通大学附属海安医院江苏海安县人民医院CT室,226600

出　　处：《上海医学影像》2008年第4期312-314,共3页Shanghai Medical Imaging

摘　　要：目的加深对肺硬化性血管瘤的认识以提高诊断水平。方法结合22例肺硬化性血管瘤患者的临床资料和文献复习,详细分析该病的病因、临床表现、诊断、鉴别诊断、治疗及预后等。结果22例中的20例被证实的硬化性血管瘤患者均行胸外手术治疗。随访时间1个月～5年不等。20例手术病人术后均无复发和转移。术中见肺内直径约1cm～6.0cm大小不等肿块,质中、光滑、包膜均完整,能完整切除。影像学检查主要表现为肺部孤立、境界清楚的结节影。结论肺硬化性血管瘤是一种少见的良性真性肿瘤,具有独特的临床病理特点,诊断有赖于计算机体层摄影术表现和组织病理学特点的结合,否则容易误诊,治疗以手术治疗为主。Objective Purpose： To describe pathological and radiological features of pulmonarysclerosing hemangioma. Methods The radiological features of twenty-two patients with sclerosing hemangioma of the lung were studied retrospectively and were correlated with the pathologic findings of the resected specimens. Results twenty patients were cured by operation and had been followed up to five years. Sclerosing hemangiomas appeared as solitary, well-defined masses. Conclusion Sclerosing hemangioma is a rare pulmonary tumor. Clinical and radiological findings are variable.

关 键 词：肺海绵状血管瘤 体层摄影术 X线计算机 病理学改变 

分 类 号：R734.2[医药卫生—肿瘤] R563.1[医药卫生—临床医学]