27例肺错构瘤的诊断与外科治疗

目的总结分析肺错构瘤的临床特点、影像学特征、治疗及预后。方法对1993年至2004年经外科手术治疗，并经病理证实的27例肺错构瘤病人的临床资料进行回顾分析。结果患者平均年龄56．4岁，平均就诊时间11个月，10例为体检时偶然发现，术前诊断为肺错构瘤者仅7例。其中肿瘤摘除6例，肺楔形切除14例，肺段切除4例，肺叶切除1例。27例病人术后均经病理证实为肺错构瘤，绝大多数人为软骨型肺错构瘤，术后恢复顺利。随访27例。本组未发现肺错构瘤伴发恶性病变。结论肺错构瘤临床误诊率高，是一种预后良好的肿瘤。单纯肿瘤摘除是治疗该病的理想手术方法。

Diagnosis and surgical treatment of 27pulmonary hamartoma

Objective To summarize the characteristics of pathogenesis,image,treatment and prognosis of pulmonary hamartoma. Methods The clinical data of 27panents with pulmonary hamartoma comfirmed pathologically after surgical treatment from1993 to 2004 were analyesd retrospectively . Results The mean age of all patients and average duration for seeking medicine was 56.4 and 11 months respectively. The ratio between man and woman was 24:3 approximaatly 10cases without any symptoms were deteted by X-ray check.. only 7patients with pulmonary hamartoma were diagnosised pre-operatioo. 6 cases underwent localized resection, 14 wedge resection ,4 segment-resection , 1patients had lobectomy ,of 27patients kept in follow -up no recurrence of malignant changes. Conclusion Pulmonary hamartoma is a kind of neoplasm with satisfactory prognosis . Localized resection is the first-choice treatment for this disease. But its diagnosis is intricacy before surgery.