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目的探讨肺硬化性血管瘤(PSH)的影像学检查、诊断及外科治疗的临床特点。方法回顾分析7例肺PSH的临床特点、诊治及随访情况。结果 PSH 7例患者均为女性,中位年龄49岁,咳嗽伴痰中带血1例,无自觉症状体检发现6例。影像学检查周围型5例,中央型肺内软组织结节影2例。全部行手术治疗,无手术并发症和死亡病例。术后病理证实为PSH。术后随访未见复发、转移。结论 PSH术前诊断困难,确诊主要依靠术后病理检查,手术是PSH治疗的有效方法。
Objective To investigate the clinical features of imaging examination, diagnosis and surgical treatment of pulmonary sclerosing hemangioma (PSH). Methods Retrospective analysis of 7 cases of pulmonary PSH clinical features, diagnosis and treatment and follow-up. Results All the 7 PSH patients were female, with a median age of 49 years. One cough with bloody sputum and 6 cases without physical symptoms. Imaging in 5 cases of peripheral type, central pulmonary nodules in 2 cases of soft tissue. All patients underwent surgical treatment without complications and deaths. Postoperative pathology confirmed as PSH. Postoperative follow-up no recurrence, metastasis. Conclusion The preoperative diagnosis of PSH is difficult. The diagnosis mainly depends on the postoperative pathological examination. Surgery is an effective method for the treatment of PSH.