论文部分内容阅读
本文报告４１例肺良性肿瘤均经手术后病理证实。肺良性肿瘤约占肺肿瘤手术总数的３８％。肺良性肿瘤应与肺癌、肺结核相鉴别诊断。本组手术病例肺良性肿瘤的病理学诊断包括肺炎性假瘤、错构瘤、硬化性血管瘤、浆细胞肉芽肿及肺动—静脉瘘。Ｘ线对诊断有重要价值。本组半数以上５１２％（２１／４１）术前Ｘ线诊断为肺良性肿瘤。术前能获得病理学诊断于手术中应尽量保留正常肺组织，手术效果和预后均较好。对临床表现和Ｘ线特征不典型的病例，术中应作快速切片检查并决定正确术式。肺良性肿瘤一旦确立诊断均应手术治疗。手术大多比较容易，但对需要作肺叶切除或支气管袖状手术（Ｓｌｅｅｖｅｏｐｅｒａｔｉｖｅ）的病例，术前应作好充分准备。应尽量减少组织损伤、保存正常肺组织为原则，并注意防治术后并发症。
This article reports 41 lung benign tumors were confirmed by pathology after surgery. Benign lung tumors account for about 3.8% of the total number of lung cancer surgeries. Benign lung tumors should be differentiated from lung cancer and tuberculosis. The pathological diagnosis of benign lung tumors in this group of patients included pneumonic pseudotumor, hamartoma, sclerosing hemangioma, plasma cell granuloma, and pulmonary arteriovenous fistula. X-ray diagnosis is of great value. More than half of the patients in this group were diagnosed as benign lung tumors with a preoperative X-ray diagnosis of 51. 2% (21/41). Preoperative pathological diagnosis can be preserved in the operation should retain normal lung tissue, surgical outcome and prognosis are better. In cases where the clinical features and X-ray features are not typical, a rapid biopsy should be performed and the correct surgical procedure determined. Once a benign lung tumor is diagnosed, it should be treated surgically. Most of the operations are easier, but for cases requiring lobectomy or bronchial sleeve surgery, preoperative preparation should be well-prepared. The principle of tissue damage and preservation of normal lung tissue should be minimized, and care should be taken to prevent and treat postoperative complications.