肺炎性假瘤的临床特点和外科治疗  

The clinical characteristics and surgical treatment of pulmonary inflammatory pseudotumor

作　　者：金炜[1] 袁军[1] 肖祥之[1] 丁彦光[1] 张胜超[1] 

机构地区：[1]复旦大学附属中山医院青浦分院胸外科,201700

出　　处：《中国实用医药》2013年第25期38-39,共2页China Practical Medicine

摘　　要：目的探讨肺炎性假瘤的发病机理及其临床特点。方法回顾性分析42例肺炎假瘤的发病特点,发病机理及X线表现。结果肺炎性假瘤发病率有逐年增高的趋势,发病原因与大剂量应用及滥用抗生素有关,X线与CT表现缺乏特异性,易与肺部恶性肿瘤相混淆。肿瘤病理切片可见炎性细胞,浆细胞和淋巴细胞,无恶性改变。结论对呼吸系统感染者应合理使用抗生素,对诊断不明的肺部肿块应考虑手术治疗。Objective To investigate the pathogenesis and clinical treatment of pulmonary Inflammatory Pseudotumor （ PIP） . Methods To analyze the pathogenic characteristics and X-ray findings of 42 cases of PIP. Results The rate of incidence in PIP was increasing in recent years. The patients had infection of the respiratory system and was related to the abuse of large doses of antibiotics,there was little specificity in X-ray or CT so it was easy to confuse with malignant tumor of the lung. In pathologic sections of PLP,no malignant changes were seen,and only inflammatory cells,lymphocytes and plasm cells could be seen by light microscope. Conclusion The antibiotic must be used properly in infection of the respiratory system and surgical treatment can be done in some asses to exclude tumor of the lung in diagnosis.

关 键 词：肺炎性假瘤 诊断 外科治疗 

分 类 号：R655.3[医药卫生—外科学]