摘要
目的总结肺炎性假瘤的诊断和治疗,分析误诊原因。方法对近11年21例肺炎性假瘤临床资料进行回顾性分析,21例全部行手术治疗,肺叶切除术13例,肺楔形切除8例,术中冰冻病理切片11例。结果术前15例误诊,误诊率48.6%,误诊为肺癌10例;肺结核球5例;肿块性质待查4例;只有2例术前临床确诊。术后无并发症和死亡。结论术前明确诊断较困难,应综合分析病史、X线、CT等临床资料、术中冰冻病理切片,提高对肺炎性假瘤的认识,可降低误诊率,并选择适当手术方式。
Objective To review the diagnosis and treatment of inflammatory pseudotumor of the lung（IPL） and analysis the causes of misdiagonsis of IPL. Methods 21 IPL patients clinical data were studied retrospectively in last 11 years,all patients underwent operation,and lobectomy was performed in 13,wedge excision in 8, frozen biopsy during operation in 11. Results 15 IPL patients were misdiagnosed befove operation, the misdiagnostic rate being 48.6 %, 10 cases were misdiagnosed as lung cancer, 5 cases were diagnosed as tuberculoma,and 4 as others, only 2 cases were diagnosed correctly before operation. No cases died or had complications offer operation Conclusion It is difficult to diagnosis correctly before operation, systematic analysis of clinical data including illness history, X-ray, CT etc could improve our knowledge of IPL,reduce the misdiagnosis and help us to operation correctly.
出处
《安徽医学》
2006年第4期299-300,共2页
Anhui Medical Journal
关键词
肺炎性假瘤
诊断
手术
inflammatory pscudotumor of the tung
diagnosis
operation
