摘要
本文分析了322例肺球形病灶的病理类型。其发生率以肺恶性肿瘤和肺结核球最多,分别为40.9％和34.2％,其次为肺炎性假瘤占8.7％。强调应认真对待病人的首发症状,仔细阅读X线片病灶之特征,综合应用诊断措施如经皮针吸活检、CT扫描、纤维支气管镜和痰脱落细胞学检查等,及早明确其良恶性。提出尽量限局性手术为一最理想治疗方法。即使小细胞型肺癌亦不应放弃手术治疗,其5年生存率可达23～36.6％。
The pathological kinds of 322 cases of pulmonary spherical focus were analysed. The incidence of the pulmonary spherical malignant tumors was 40.9％, then 34.2％ and 8.7％ were tuberculoma and postinflammatory pseudotumor of the lungs respectively. The first compliant of the patients was obtained as much as possible and the chest films should read carefully to find characterestic features of the pulmonary round lesions. The techniques of diagnosis such as cytological examination of sputum, fiberoptic bronchoscopy,transcutaneous or transbronchus lung biopsy and CT of the lesions were adopted if necessary, so that the natures of the lesions were defined in time. The economic resection of the pulmonary spherical focus such as wedge or segment lung resection should be emphasized. Even though small cell carcinoma of the lung, surgical treatment should not be given up because five years survival rate was 23—36.6％.
关键词
肺病
球型病灶
诊断
lung disease
pulmonary spherical focus
surgery treatment
