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目的探讨肺硬化性血管瘤(PSH)的诊断与治疗,提高对PSH的认识。方法回顾分析44例PSH的临床特征、影像特点及治疗方法。结果 11例患者术前无一例确诊。患者平均年龄为11岁,其中女9例,占81.82%,无症状患者7例,占63.63%。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 PSH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。外科手术是该病的有效治疗方法 。
Objective To investigate the diagnosis and treatment of pulmonary sclerosing hemangioma (PSH) and to improve the understanding of PSH. Methods Retrospective analysis of 44 cases of PSH clinical features, imaging characteristics and treatment. Results None of the 11 patients were diagnosed before surgery. The average age of patients was 11 years, of which 9 were female, accounting for 81.82%, asymptomatic patients in 7 cases, accounting for 63.63%. 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 PSH are nonspecific, and it is very difficult to diagnose PSH preoperatively. Middle-aged women, especially chest X-ray film showed uniform density, clear-cut, smooth edges or round nodules should consider this disease. Surgery is an effective treatment of the disease.