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目的 提高对肺炎性假瘤的临床诊断正确率。方法 回顾性分析37例经手术后病理诊断证实的肺炎性假瘤的X线表现和临床症状。结果 37例中男10例,女27例,年龄10—68岁(平均43.9岁)。起病时无症状仅体检发现14例,有症状的23例中咳嗽13例,痰血16例,发热9例。X线片肿块影像特征:部位:右肺23例,左肺14例,以右下叶及中叶居多。大小:直径1.0—12cm。形状:圆形或类圆形者34例(91.89％),不规则3例。边缘光滑22例,模糊11例,分叶状3例,细毛刺1例。密度均匀25例,不均匀9例,有透亮区3例。结论 肺炎性假瘤是一种非特异性炎症所致的肿瘤样病变,在X线表现和临床症状与检查上虽有一定特征,可供确诊,但有时与肺癌难以辨别。对此宁愿早期手术切除,尤其是在胸腔镜下,预后良好。
Objective To improve the accuracy of clinical diagnosis of pulmonary inflammatory pseudotumor. Methods A retrospective analysis of 37 cases of postoperative pathological diagnosis of pulmonary inflammatory pseudotumor X-ray findings and clinical symptoms. Results Among 37 cases, there were 10 males and 27 females, aged 10-68 (average 43.9 years). Asymptomatic onset symptoms were found only in 14 cases, 13 cases of symptomatic cough in 13 cases, 16 cases of sputum, fever in 9 cases. X-ray film features: Location: 23 cases of right lung, left lung in 14 cases, mostly in the right lower lobe and middle. Size: 1.0-12cm in diameter. Shape: round or oval in 34 cases (91.89%), irregular in 3 cases. 22 cases of smooth edges, fuzzy 11 cases, lobulated in 3 cases, 1 case of fine burr. 25 cases of uniform density, 9 cases of non-uniform, with translucent area in 3 cases. Conclusions Pneumonia pseudotumor is a tumor-like disease caused by nonspecific inflammation. Although there are certain characteristics on X-ray findings and clinical symptoms and examinations, it is available for diagnosis, but it is sometimes difficult to distinguish with lung cancer. This would rather early surgical resection, especially in thoracoscope, the prognosis is good.