肺硬化性血管瘤临床与影像学特征分析

Clinical and imaging analysis of pulmonary sclerosing hemangioma

目的探讨肺硬化性血管瘤的影像学特点,提高对本病的认识。方法对我院6例经手术病理证实为肺硬化性血管瘤患者的临床与影像学资料进行分析。结果6例患者中1例无明显症状,其余5例均有不同程度的咳嗽、咳痰、胸闷、胸痛等症状;所有患者查体均未见明显阳性体征。6例共7个病灶,直径均值为3.86cm,其中4个位于右侧肺内,6个位于肺野中内带,1例为同侧肺内多发性病灶。结论肺硬化性血管瘤是一种较少发生于肺内的良性上皮性肿瘤,影像学表现具备一般肺内良性肿瘤的特点。全面分析本病的影像学表现,结合临床特点,有益于提高术前诊断的准确率。

Objective： To discuss the imaging features of pulmonary sclerosing hemangioma. Methods： An analysis of the clinical and imageology data of 6 cases confirmed pulmonary sclerosing hemangioma by openative pathology. Results ： Among 6 cases, one had no obvious symptom, others had different grade of cough,expectoration,chest dis- tress and pain ; all cases had no positive physical signs. The average diameter of the total 7 lesions of 6 cazes was 3.86cm, Four cases located right lung, Six located middle and inner zone of lung field ; one of 7 had multiple lesions in unilateral lung. Conclusion： Pulmonary sclerosing hemangioma is one less common kinds of benign epithelial turnout and has imaging finds as pulmonary benign tumor. Multi - analysis on imaging finds of pulmonary sclerosing hemangioma and connection with clinical features may be beneficial to improve the accurate rate of preoperative diagnosis.