肺炎性假瘤诊断及外科治疗71例

目的：总结肺炎性假瘤诊断及外科治疗体会，方法：对1970年12月－2000年12月71例肺炎性假瘤的临床资料进行回顾性分析。女49例，男22例，年龄23－72岁，平均45．2岁，肺叶切除44例，楔形切除18例，肺段切除8例，探查活检1例，术中冰冻病理切片13例，肺炎性假瘤11例，错构瘤1例，可疑腺癌1例，术后病理考虑恶性变5例。结果：5例恶性变者，3例已生存5年，2例术后5年内死于复发，转移，余66例预后良好，结论：术前诊断较困难，治疗以手术切除为主，术中冰冻病理切片检查对决定术式有帮助。

Pulmonary Inflammatory Pseudotumor (A Report of 71 Cases)

Objective:To review the expriences of diagnosis and surgiccal management of pulmonary inflammatory pseudotumors.Methods:From1970to2000,71patients with pul monary inflammatory pseudotumor were treated surgically.Results:There were49females and22males with a mean age of45.2years,25asymptomatic and46symptomatic.All patients re ceived surgery including lobectomy in44cases,wedge resection18,segmental resection8,thoracotomy and biopsy1.A frozen section analysis of material obtained in operation was performed upon13patients.The histologic interpretation revealed inflammatory pseudotumor11,hamartoma 1,sus-pected malignant tumor1.Of five patients with malignant change,3had sur vived for5years and other2patients died of recurrence and metastasis5years after operation.Other66cases had fine prognosis.Conclusion:The preoperative diagnosis of pulmonary inflam matory peudotu mor is somewhat difficult.The predominant treatment is surgery and frozen biopsy during the op eration is helpful for determing the modality of operation.