肺部炎性假瘤（附28例误诊分析）

INFLAMMATORY PSEUDOTUMOR OF THE LUNG(A REPORT OF 28 CASES MISDIAGNOSIS)

１９７８年９月至１９９４年７月，我科对肺炎性假瘤（ＩＰＬ）３０例施行了手术治疗，术前误诊高达２８例，占９３．３％。３０例中男２１例（占７０％），女９例，平均年龄５３．４岁，这与文献报道有显著不同（Ｐ＜０．０２，＜０．０１）。本文从ＩＰＬ临床表现、Ｘ线征象及手术所见等方面对可引起误诊的因素进行仔细分析，提出了减少误诊的措施，并对ＩＰＬ的预防和治疗作了讨论。

From September 1978 to July 1994,thirty patients with inflammatory pseudotumor of the lung(IPL)were operated on in our hospital.There were 21 male and 9 female, average age 53.4 years,which were significantly different from reports formerly(P<0.02 and 0.01 respectively). Preoperatively 28 cases were misdiagnosed.Factors that might lead to make a misdiagnosis basing on IPL's clinical apperance,roentgenograph and intraoperative findings were analysed, and hints were suggested for lowering the rate of misdiagnosis,Both prevention and treatment of IPL were also discussed.