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目的:探讨肺炎性假瘤的临床表现、诊断及外科处理。方法:回顾性分析21例肺炎性假瘤病例的临床诊治情况。结果:全组术前仅5例诊断正确,8例误诊肺癌,8例误诊为良性肿瘤。均行手术治疗,肺叶切除11例,肺楔形切除9例,假瘤摘除1例,术后无并发症和死亡。结论:该病大部分临床症状不典型,必要时给予诊断性抗炎或抗结核治疗,术中冰冻切片明确病理诊断,决定手术方式,术式以局部切除和肺叶切除为主,尽量多保留正常肺组织。
Objective: To investigate the clinical manifestations, diagnosis and surgical treatment of pulmonary inflammatory pseudotumor. Methods: A retrospective analysis of 21 cases of pneumonia pseudotumor clinical diagnosis and treatment. Results: All the patients were diagnosed correctly in 5 cases before surgery, 8 cases were misdiagnosed as lung cancer and 8 cases were misdiagnosed as benign tumors. All patients underwent surgical treatment. There were 11 cases of lobectomy, 9 cases of pulmonary wedge resection, and 1 case of pseudotumor removal. No postoperative complications and death occurred. Conclusion: Most of the clinical symptoms of the disease are not typical, if necessary, given a diagnostic anti-inflammatory or anti-TB treatment, intraoperative frozen section clear pathological diagnosis, determine the surgical approach, surgical resection to local excision and lobectomy as much as possible to retain the normal Lung tissue.