原发性肺软骨瘤的外科诊治分析  

Surgical management of primary pulmonary chondroma

作　　者：王彪 何彬[2] 薛洋[2] 王友于[2] 冯刚[2] 丛伟[2] WANG Biao;HE Bin;XUE Yang;WANG You-yu;FENG Gang;CONG Wei(Department of General Thoracic Surgery,the Affiliated Hospital of Southwest Medical Uni-versity,Luzhou,Sichuan 646000,Chin)

机构地区：[1]西南医科大学附属医院普胸外科,四川泸州646000 [2]四川省医学科学院,四川省人民医院胸外科,四川成都610072

出　　处：《临床肺科杂志》2018年第9期1590-1592,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨原发性肺软骨瘤的临床特点及外科诊治方法。方法回顾性分析四川省人民医院2005年1月至2017年11月手术治疗且病理确诊的20例肺软骨瘤的临床资料,其中开胸手术5例,腔镜手术15例,6例行肺叶切除术,14例行肺楔形切除术。结果全组无术前确诊病例,手术均顺利完成,无围手术期死亡,2例发生并发症。手术时间(112.5±50.2)min,术中失血(58.5±31.0)m L,术后留置胸腔引流管时间(3.9±2.5)天,术后住院天数(5.4±2.3)天。随访16例,平均73.8月,1例死于非肿瘤性病变,余均无复发、转移、并发Carney综合征等。结论肺软骨瘤临床表现缺乏特异性,容易误诊,外科手术切除是诊断和治疗肺软骨瘤的有效措施。手术效果良好,但需终身随访。Objective To analyze the clinical characteristics and surgical management of primary pulmonary chondroma. Methods The clinical data of 20 patients with primary pulmonary chondroma who underwent surgical treatment from January 2005 to November 2017 were reviewed. The operation was via lateral thoractomy in 5 cases,and video-assisted thoracoscopic surgery（ VATS） in 15 cases. A total of 14 patients underwent pulmonary wedge resection,and 6 patients underwent lobectomy. Results No patients was diagnosed before surgery. There was no operative death and operative complications occurred in 2 patients. The operative time was（ 112. 5 ± 50. 2） min,and the average blood loss was（ 58. 5 ± 31. 0） m L. The drainage duration was（ 3. 9 ± 2. 5） days,and the postoperative hospital stay was（ 5. 4 ± 2. 3） days on average. Follow-up was completed in 16 patients ranged from 3 to 140 months（ median 73. 8 months）. One patient was deceased from non-oncologic disease. There were no recurrence or canceration for the rest patients,and no patients with Carney＇s triad. Conclusion The clinical symptoms of pulmonary chondroma are concealed and often misdiagnosed. Surgical resection can be used for the diagnosis and therapy of pulmonary chondroma. Complete resection can provide patients with a good prognosis,but all needing lifelong follow-up.

关 键 词：肺软骨瘤 外科治疗 Carney综合征 

分 类 号：R734.2[医药卫生—肿瘤]