肺炎性假瘤38例临床分析

Clinical analysis on inflammatory pseudotumor of the lung

目的 分析肺炎性假瘤的诊断与治疗 ,以期降低误诊率 ,提高诊断水平。方法 回顾性总结了近 1 0余年肺炎性假瘤 (IPL)病人 38例。结果 术前 31例误诊 ,误诊率 76 .3 % (2 9/ 38)。误诊为肺癌 1 9例 ,良性肿瘤 7例 ,结核球3例 ,其他 2例。 38例全部手术治疗 ,肺叶切除 2 4例 ,楔形切除 1 3例 ,剔除 1例。结论 充分了解IPL的病理发展过程 ,在病史询问、临床资料及X片的综合分析基础上做出正确诊断 。

Objective To analysis the causes of misdiagnosis of inflammatory pseudotumor of the lung (IPL).Methods 38 IPL patients were studied retrospectively in last 10 years.Results 31 IPL patients were misdiagnosed before operation,the misdiagnostic rate being 88.6%.19 cases were misdiagnosed as lung cancer,7 cases as benign tumor,3 cases as tuberculoma and 2 as others.All patients underwent operation,and lobectomy was performed in 24,wedge excision in 13 and enucleation in 1 patient.Conclusion Systematic analysis of clinical data and pathological course could improve our knowledge of IPL and reduce the misdiagnosis.