肺硬化性血管瘤31例报告并文献复习

目的：探讨肺硬化性血管瘤临床特点、病理特征、诊断和外科治疗。方法：对31例肺硬化性血管瘤的临床资料进行回顾性分析并献复习。结果：全组均行手术治疗。其中肺叶切除21例，双肺叶切除1例，肺段切除5例，楔形切除和肿瘤除各2例。无术后并发症和死亡。术前诊断为肺良性肿瘤27例。误诊为肺癌4例。结论：该病临床症状和影像学无特征性，术前确诊极为困难。本病应尽早手术治疗。术式以肺叶切除为主。预后良好。

Sclerosing Hemangioma of the Lung:Report of 31 Cases and a Review of the Literature

Objective:To review the experience of surgical management of sclerosing hemangioma of the lung(SHL).Methods:From 1989 to 2001,31 cases SHL were treated surgically.There were 6 males and 25 females with a mean age of 41 years.All patients received surgery including lobectomy in 21,double lobectomy in 1,Segmentectomg in 5,wedge resection in 2 and excision of tumor in 2.The postoperative diagnosis was confirmed by pathological sections of the resected specimens.Results:There was no postoperative morbidity and mortality.27 cases were suspected benign lung tumor brfore surgery and 4 patients misdiagnosed as lung cancer.No recurrence of SHL was observed in any of the patients during the follow-up surveys.Conclusion:Preoperative diagnosis SHL is quite difficult. Resectional therapy is the treatment of choice and is usually rewarded with good prognosis.