63例良性孤立肺结节的临床分析

Clinical analysis of 63 cases with benign Solitary Pulmonary Nodules

目的:探讨直径≤30mm的外周型良性孤立肺结节的临床诊断和治疗。方法:分析总结63例外周型良性孤立肺结节的临床资料及手术方式。结果:63例良性孤立肺结节病理分布依次为:结核球,炎性假瘤,错构瘤,硬化性血管瘤,肺隐球菌病,纤维瘤,肉芽肿性炎,曲菌病,肺动静脉畸形,平滑肌瘤。63例患者均行手术治疗,其中肺叶切除10例,肺楔形切除53例,均痊愈出院。结论:在孤立肺结节中,良性疾病只占少数,在不能明确诊断的情况下,可在短期抗炎排除肺炎的可能性后积极手术探查。

Objective： To investigate the clinical diagnosis and treatment of the benign periphery solitary pulmonary nodules measuring diameter less than 30mm. Methods： The clinical data and operation types of 63 patients with benign periphery SPNs. Results： The pathologies are tuberculoma, inflammatory pseudotumor, hamartoma, sclerosing hemangioma, cryptococcosis, fibroma, granulomatous inflammation, aspergillosis, pulmonary arteriovenous malformations, leiomyoma. Surgical resections were performed in all the patients among which there are 10 pulmonary lobectomies and 53 wedge resections. Conclusions： The benign nodules are minority in the SPNs. When it is difficult to identify the diagnosis, it is better to take the operations research actively after the short period antiinflammatory.