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肺硬化性血管瘤的诊断与治疗

罗猛1,蒲强2,马林2,梅建东2,刘伦旭2   

  1. 1. 四川大学华西医院胸外科610041；贵州省遵义医学院胸心外科563003
    2. 四川大学华西医院
  • 收稿日期:2010-07-06 修回日期:2010-07-13 出版日期:2010-10-15 发布日期:2010-10-15
  • 通讯作者: 刘伦旭

Diagnosis and treatment of pulmonary sclerosing hemangioma

  • Received:2010-07-06 Revised:2010-07-13 Published:2010-10-15 Online:2010-10-15

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2003

摘要： 目的　探讨肺硬化性血管瘤（PSH）的临床特征，诊断与治疗， 提高对肺硬化性血管瘤的认识。方法　对61例手术后病理证实的PSH患者临床、影像表现及治疗作回顾性分析。结果　61例患者术前无1例确诊。全组男性17例，女性44例，全组平均年龄40.36岁。无症状36例（59.02%）。X 线胸片或CT多表现为孤立性、圆形或卵圆形、密度均匀、边缘光滑的结节状阴影。全组患者均行手术治疗，无手术并发症和手术死亡，术后随访均无复发转移。结论 肺硬化性血管瘤术前确诊极为困难。手术是肺硬化性血管瘤的有效治疗方法。

关键词: 肺硬化性血管瘤, 诊断, 外科治疗

Abstract: Objective 　To investigate the diagnosis and treatment of pulmonary sclerosing hemangioma (PSH) and improve our understanding of this disease. Methods 　The clinical features , radiographic manifestations and treatment of PSH pathologically verified in 61 patients were analyzed retrospectively. Results 　None of the 61 patients was diagnosed as PSH preoperatively. There were 44 females and 17 males, and the average age was 40.36 years in this group. 36 patients were symptom free. The plain chest roentgenograms or CT showed a well defined, homogeneous, round or oval nodulous shadow in most cases. All patients received operation. There was no postoperative morbidity and mortality. Postoperative follow-up showed a good prognosis. Conclusion 　Preoperative diagnosis of PSH is quite difficult . A good prognosis can be achieved through surgical treatment.

Key words: Pulmonary sclerosing hemangioma, Diagnosis, Surgical treatment