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1 材料与方法 本篇分析14例手术病理证实的肺部炎性瘤病例,其中男10例,女4例,年龄36~65岁,56岁以上者8例。临床症状多以咳嗽咳痰11例、血痰2例、低热1例,白血球总数及中性高于正常者4例。术前均经胸部正侧位照片与CT胸部平扫,其中6例曾作CT增强扫描。 2 结果 胸片上显示肿块边缘光整密度不均匀9例,病灶显示钙化影4例,有分叶征5例,显示胸膜凹陷症4例。肿块自2.5cm~12cm之间,经CT增强6例,均有轻至中度强化,净值CT值15~25hu,术前X线诊断正确5例,CT诊断正确的4例,被误诊结核球2例,周
1 Materials and Methods This analysis of 14 cases of pathologically confirmed pulmonary inflammatory tumor cases, including 10 males and 4 females, aged 36 to 65 years old, 56 years of age in 8 cases. Clinical symptoms and cough and sputum in 11 cases, 2 cases of bloody sputum, fever in 1 case, the total number of leukocytes and normal in 4 cases. Preoperative chest by posterior lateral images and CT chest scan, of which 6 cases had CT enhanced scan. 2 results on the chest radiograph showed uneven mass density in 9 cases, lesions showed calcification in 4 cases, lobectomy in 5 cases, 4 cases showed pleural indentation. The mass was increased from 2.5cm to 12cm in 6 cases with CT enhancement. All of them were mild to moderate enhancement with a net CT value of 15-25hu. Five cases were correctly diagnosed by X-ray before operation and 4 cases were correctly diagnosed by CT. 2 cases, weeks