肺硬化性血管瘤的治疗分析

Therapeutic analysis of patients with pulmonary sclerosing hemangioma(PSH)

目的探讨肺硬化性血管瘤(PSH)的临床特点及外科治疗方法。方法分析我院1996年1月～2011年8月期间手术治疗16例PSH患者的临床资料。结果 16例患者术前均未确诊。术后病理及免疫组织化学检查确诊为PSH。全组无严重的手术并发症和手术死亡,术后随访10个月～3年,未发现复发和转移。结论手术治疗PSH是有效的治疗方法,手术方式首选电视胸腔镜下的肺楔形切切除术,预后良好。

Objective To approach the clinical features and the surgical therapeutic methods of pulmonary sclerosing hemangioma （PSH）. Methods The clinical data of 16 patients with pulmonary sclerosing hemangioma, who received surgical operation from January 1996 to August 2011, were analyzed retrospectively. Results The diagnosis of all patients were undetermined preoperative. The final di- agnosis was made by the examination of pathology and immunohistochemistry. There was no severe complications or death reported. There was no recurrence or metastasis after a follow-up of 10 months～ 3 years. Conclusion The surgical treatment leads to a good prognosis. Video-assisted thoracoscopic wedge shape resection is the most suitable operation for pulmonary sclerosing hemangioma and has a favorable prognosis.