肺错构瘤的诊断与治疗

Diagnosis and treatment of lung hamartoma

本文报告了肺错构瘤３０例，男女之比为１．７：１，平均年龄４６．９岁，病史平均７．９个月。４０％的病人无症状，其他病人临床症状少而轻，主要表现为咳嗽、胸痛、痰中带血和气短。Ｘ线表现为圆形、类圆型阴影，１３．３％有分叶，１０．０％有钙化。全组术前确诊率为２６．７％。本文将肺错构瘤分为三种类型：肺内型２５例占８３．４％，腔内型４例占１３．３％，多发型１例占３．３％。本文对肺错构瘤的病因、分类、诊断、鉴别诊断和治疗进行了讨论。

This paper presents 30 cases with lung hamartoma. The male to female ratio was 1. 7: 1. The age with a mean of was 46. 9 years. The preoperative disease history was averagely 7. 9 monthes. Fourly percemt of the cases showed no symptoms. Other cases symptoms were less and light. X-ray findings were roumd or oval mass with lobulation (13. 3%)and calcification (10. 0%). The diagnosis was confirmed in 26. 7% cases preoperation. Lung hamartoma was. classificated into 3 types in this paper: 25 cases of them (83. 4%) were intrapulmonary type, 4 cases (13. 3% ) were endobronchial and 1 case (3. 3%) was multiple. The etiological causes,classification, diagnosis, differential diagnosis and treatment of lung hamartoma were discussed.