论文部分内容阅读
目的 探讨肺硬化性血管瘤的诊断与治疗 ,提高对肺硬化性血管瘤的认识。方法 回顾分析了 2 1例肺硬化性血管瘤的临床特征、影像特点及治疗方法。结果 2 1例患者术前无 1例确诊。全组平均年龄 48.0岁 ,其中女性 18例 (85 .7% ) ,无症状患者 12例 (5 7.1% )。胸部X线片多表现为肺内边缘清晰的圆形或类圆形结节影 ,密度均匀。全部患者均行手术治疗 ,无手术并发症和手术死亡 ,术后随访无复发转移。结论 肺硬化性血管瘤临床症状和影像学无特异性 ,术前确诊极为困难。对中老年女性 ,尤其是胸部X线片表现为密度均匀、境界清楚、边缘光滑的圆形或类圆形结节者应考虑本病。手术治疗是肺硬化性血管瘤的有效治疗方法。
Objective To investigate the diagnosis and treatment of pulmonary sclerosing hemangioma and to raise awareness of pulmonary sclerosing hemangioma. Methods A retrospective analysis of 21 cases of pulmonary sclerosing hemangioma clinical features, imaging characteristics and treatment. Results No patient was diagnosed before in 1 of 21 cases. The average age of the group was 48.0 years old, including 18 females (85.7%) and 12 asymptomatic patients (7.11%). Chest X-ray film showed more than a clear circular or round nodules of lung edge, uniform density. All patients underwent surgical treatment, no complications and surgical death, follow-up no recurrence and metastasis. Conclusion The clinical symptoms and imaging of pulmonary sclerosing hemangioma are nonspecific, and it is extremely difficult to diagnose the disease before operation. Middle-aged women, especially chest X-ray film showed uniform density, clear-cut, smooth edges or round nodules should consider this disease. Surgical treatment is an effective treatment of pulmonary sclerosing hemangiomas.