外科治疗肺孤立性结节45例临床分析

目的：探讨肺孤立性结节的临床特点和治疗方法。方法：回顾性分析我科2003年1月至2009年5月手术治疗45例肺孤立性结节（直径≤3cm）的临床资料,其中开胸肺叶切除术25例,胸腔镜下肺叶切除5例,肺楔形切除术14例,肺肿瘤摘除术1例。结果：术后病理诊断腺癌13例,鳞癌5例,小细胞癌2例,肺泡细胞癌1例,腺样囊性癌1例,转移性癌3例,结核球或肉芽肿8例,炎性假瘤8例,肺曲菌病3例,硬化性血管瘤1例。所有患者均无严重并发症痊愈出院。结论：肺孤立性结节病因复杂,诊断有一定的困难,恶性病变比例较高,尽早手术是明确诊断和提高治愈率的关键。

Clinical analysis of surgical treatment for patients with solitary pulmonary nodule（45 cases report）

Objective：To investigate the clinical characteristics and surgical management of the solitary pulmonary nodule（SPN）.Methods： From January 2003 to May 2009,45 consecutive patients with SPNs underwent surgical treatment in our department.Of 25 cases underwent lobectomy by thoracotomy,5 underwent lobectomy,14 underwent pulmonary wedge resection,one underwent tumour extirpation by VATS.Results：The pathological results were adencarcinoma in 13,squamous carcinoma in 5,metastasis in 3,small carcinoma cell in 2,alveolar cell and adenoid cystic carcinoma in 1 respectively.Another 20 were benign.There was no postoperative death.Conclusion：The causes of pulmonary solid nodule are a variety often makes the diagnosis dificult.Being its malignant predominance,surgical aproach as erly as possible is benefit for diagnosis or treatment.