摘要
８５例右肺中叶病变经手术治疗，最后病检确诊；其中原发性肺癌５２例，良性肿瘤５例，炎症性病变２８例。胸部Ｘ线表现为典型中叶不张的３４例中确诊为恶性肿瘤１５例（占４４．１％），单纯中叶切除７７例。作者认为中叶病变病因复杂，尤其是中叶不张者需Ｘ线照片、断层或ＣＴ扫描、纤支镜、痰细胞学等全面检查，以防恶性肿瘤的漏诊。对内科治疗不能复张或反复发作、或腔内器质梗阻者主张尽早手术治疗。
ighty-five patients with simple right lung middle lobe lesion underwent
lobectomy,Postoperative pathologic results showed that there were(52/85)61.2%malignant
tumors(28/85)32.9%benign lesions and(5/85)5.9%benlgn tumors.In those patient with typi-cal
manifestations of the middle lobe atelectasis,malignant tumors occurred most frequent-ly,which
was different from past reports,The authors emphasized that a correct diagnosiscan only be
made by analyzing the data obtained by a variety of combined
examinations,e..,X-ray,tomography,bronchofiberscope,and sputum cell study.If the patients
with mid-dle lobe mass or infiltration and atelectasis,aged over 40,exploratory thoracotomy
should beperformed as early as possible.
出处
《湖南医科大学学报》
CSCD
1995年第5期447-449,共3页
Bulletin of Hunan Medical University
关键词
肺切除术
肺肿瘤
病理学
中叶综合征
pneumonectomy
lung neoplasms
bronchoscopy
pathology
mid-dle lobe syndrome
