| 85例右肺中叶病变术后临床病理分析 |
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| 引用本文： | 蒋海河,周汉槎,陈胜喜,汤勇,罗万俊,袁明道.85例右肺中叶病变术后临床病理分析[J].中南大学学报(医学版),1995(5). |
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| 作者姓名： | 蒋海河 周汉槎 陈胜喜 汤勇 罗万俊 袁明道 |
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| 作者单位： | Department of
Thoracocardio-rasculer Surgery，Xiangya Hospital，Hunan Medical
University |
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| 摘 要： | ８５例右肺中叶病变经手术治疗，最后病检确诊；其中原发性肺癌５２例，良性肿瘤５例，炎症性病变２８例。胸部Ｘ线表现为典型中叶不张的３４例中确诊为恶性肿瘤１５例（占４４．１％），单纯中叶切除７７例。作者认为中叶病变病因复杂，尤其是中叶不张者需Ｘ线照片、断层或ＣＴ扫描、纤支镜、痰细胞学等全面检查，以防恶性肿瘤的漏诊。对内科治疗不能复张或反复发作、或腔内器质梗阻者主张尽早手术治疗。
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| 关 键 词： | 肺切除术 肺肿瘤 支气管镜术 病理学 中叶综合征 |
POSTOPERATIVE CLINICAL AND PATHOLOGIC ANALYSES IN 85 CASES WITH THE RIGHT
MIDDLE LOBE LESIONS |
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| Jiang Haihe, Zhou Hancha,Chen Shengxi,et al.POSTOPERATIVE CLINICAL AND PATHOLOGIC ANALYSES IN 85 CASES WITH THE RIGHT
MIDDLE LOBE LESIONS[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1995(5). |
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| Authors: | Jiang Haihe Zhou Hancha Chen Shengxi |
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| Abstract: | ighty-five patients with simple right lung middle lobe lesion underwent
lobectomy,Postoperative pathologic results showed that there were(52/85)61.2%malignant
tumors(28/85)32.9%benign lesions and(5/85)5.9%benlgn tumors.In those patient with typi-cal
manifestations of the middle lobe atelectasis,malignant tumors occurred most frequent-ly,which
was different from past reports,The authors emphasized that a correct diagnosiscan only be
made by analyzing the data obtained by a variety of combined
examinations,e..,X-ray,tomography,bronchofiberscope,and sputum cell study.If the patients
with mid-dle lobe mass or infiltration and atelectasis,aged over 40,exploratory thoracotomy
should beperformed as early as possible. |
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| Keywords: | pneumonectomy lung neoplasms bronchoscopy pathology mid-dle lobe syndrome |
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