肺炎性假瘤的诊断和外科治疗  

Diagnosis and surgical treatment of pulmonary inflammatory pseudotumor

作　　者：张位星[1] 艾正华[1] 罗万俊[1] 

机构地区：[1]中南大学湘雅医院心胸外科,湖南长沙410008

出　　处：《中国医学工程》2009年第3期210-212,共3页China Medical Engineering

摘　　要：目的讨论肺炎性假瘤的诊断及治疗。方法回顾性总结我科1980年1月～2008年6月外科手术的306例肺炎性假瘤的诊断及外科治疗经验。结果肺炎性假瘤临床表现及辅助检查缺乏特异性,诊断靠病检确诊,易误诊为肺癌,应积极手术切除。本组术前确诊68例(18.9%),误诊为肺癌156例(50.9%);行肺叶切除262例(85.6%),局部切除42例(13.7%);占同期肺部肿瘤手术的7.4%(306/4147),其中2004年前为5.8%(117/1973),2004年后为8.7%(189/2174);全组均痊愈出院,随访1个月～1年恢复良好。结论肺炎性假瘤发病率逐年上升,易误诊,确诊靠病检,外科手术切除预后良好。[ Objective ] To study the diagnosis and surgical treatment of pulmonary inflammatory pseudotumor （PIP）. [Methods] From Jan 1980 to Jun 2008, 306 cases of PIP were operated. [Results] PIP has no speciality in respect of clinical symptoms and imaging manifestations. The diagnosis of PIP was quite difficult and it was always misdiagnosised as lung cancer, trans-skin puncture biopsy was important preoperative diagnostic measures, the operative treatment should be used. 58 （18.9%） cases were correctly diagnosed preoperative, 156 （50.9%） cases were misdiagnosed as lung cancer. Operation were carried out in all cases with 262 （85.6%） lobectomies, 42 （13.7%） wedge-shaped resections. 306 cases were recovered smoothly and discharged in good condition. The result of postop- erative follow-up was satisfactory. [ Couclusion ] The incidence of PIP was increased. PIP was always misdiagnosised as lung cancer. The proper kind of lung resection should be determined by preoperative or operative pathological biopsy diagnosis of lung lesion and excessive resection of normal lung tissues should be avoided. The prognosis of PIP was good.

关 键 词：肺炎性假瘤 诊断 手术 

分 类 号：R734[医药卫生—肿瘤]