126例肺部肿瘤样结节的外科诊治分析

目的 :探讨肺部肿瘤样结节的临床特点、诊断与外科治疗。方法 :对 1 2 6例肺部肿瘤样结节的临床资料进行回顾性分析。结果 :均行手术治疗 ,无术后并发症和死亡 ,术前仅30例 (2 3 8% )诊断正确 ,6 4例 (5 0 8% )疑为肺癌 ,4例误诊为转移癌 ,2 8例考虑肺部良性肿瘤。结论 :该病临床症状及影像学改变缺乏特异性 ,易与肺癌混淆 ,术前胸部CT或MRI、纤维支气管镜及经皮肺穿刺活检均对本症的诊断与鉴别诊断有帮助 ,应积极外科手术 ,获得肿物的细胞学和组织学诊断 ,以指导合理的治疗。术式以局部切除和肺叶切除为主 ,尽量多保留正常肺组织。电视胸腔镜的应用 ,使其治疗更趋合理

Diagnosis and Surgical Treatment of Pulmonary Tumorous Node-126 cases reports

Objective:To discuss the clinical characteristics,diagnosis and surgical treatment of pulmonary tumorous node.Methods:The clinical data of 126 cases of pulmonary tumorous node patients were analyzed retrospectively.Results:All cases were underwent operation without any complication and death.The diagnosis of 30 cases was made correctly.64 cases were doubted pulmonary carcinoma and 4 cases were doubted metastatic tumor.28 cases were considered as pulmonary benign tumor.Conclusions:There were no specificity on clinical symptoms and radiological changes so that it was easy to make confused with pulmonary carcinoma.The CT,MRI,fiberobronchoscope and biopsy were helpful to obtain the correct diagnosis and make differential diagnosis.The reasonable treatment should be operation to make cytological and histological diagnosis mainly with local resection or lobecotomy to save normal tissue.The thoracoscope might be best choice and available when correct diagnosis is made.