肺炎性假瘤的诊断和治疗

目的：总结肺炎性假瘤的临床特点和治疗效果。方法：分析49例肺炎性假瘤患者的临床表现、辅助检查结果和预后情况。结果：73％的肺炎性假瘤患者以咳嗽为首发症状，常规X线胸片和CT的诊断正确率分别为24％和37％，43例患者行手术治疗。结论：肺炎性假瘤在术前诊断上与肺癌较难鉴别，对诊断不清的患者应考虑手术治疗；肺炎性假瘤可能存在恶性潜能和复发的可能性，因此应加强随访。

Diagnosis and Treatment of Pulmonary Inflammatory Pseudotumor

Objective: Summarize the experience of diagnosis and treatment of pulmonary inflammatory pseudotumors. Methods: The clinical features.chest radiograph and CT of 49 cases of pulmonary inflammatory pseudotumor were analyzed retrospectively. Results: Cough was the most common symptom, occurring in about 73% patients. The accurate rate of chest radiograph and CT were 24% and 37% respectively. 43 cases were treated surgically. Conclusion:It is difficult to differentiate pulmonary inflammatory pseudotumor from lung caner, operation should he performed when diagnosis is unclear. Recurrence and malignant transformtion may happen in pulmonary inflammatory pseudotumor patients, so postresection follow-up is necessary.