93例肺囊肿的外科治疗

Surgical treatment of 93 cases of pulmonary cyst

目的总结肺囊肿的诊断、鉴别诊断及手术治疗经验。方法回顾分析2005年1月至2010年10月外科手术治疗肺囊肿93例的临床资料。结果所有病例均行手术治疗并经病理证实。术前诊断为肺囊肿59例,占63.4%;误诊为其他疾病34例,误诊率36.6%。其中误诊为肺结核27例,肺脓肿3例,支气管扩张2例,肺癌2例。术后均治愈出院,临床症状均消失,无复发。结论肺囊肿缺乏特异性表现,诊断较为困难,误诊率较高;掌握肺囊肿的诊断和鉴别诊断,可减少误诊率。外科手术能明确诊断,避免误诊误治,是肺囊肿的最佳治疗方法。

Objective To conclude the diagnosis,the differential diagnosis and the surgical treatment of pulmonary cyst.Methods 93 cases with pulmonary cyst treated by surgery from January 2005 to October 2010 were studied by retrospective analysis.Results All patients were confirmed by operation and pathology.Before operation,59 cases were diagnosed pulmonary cyst accounted for 63.4% of all the cases,and 34 cases were erroneously diagnosed as other diseases,respectively 27 tuberculosis,3 lung abscess,2 bronchiectasis and 2 lung cancer.All cases were cured with no clinical symptoms and no relapse after operation.Conclusion The clinical manifestations of pulmonary cyst are lack of specificity and thus difficult to diagnose.Mastering diagnosis and differential diagnosis methods for pulmonary cyst can reduce misdiagnosing rate.Surgical operation can make a definite diagnosis which can prevent the misdiagnosis and faulty treatment.Thus,surgical operation is the best choice for this disease.