[1]金锋,王成,刘景亮,等.肺硬化性血管瘤的诊断和外科治疗(附33例报告)[J].中国微创外科杂志,2005,05(10):861-863.
　Jin Feng,Wang Cheng,Liu Jingliang,et al.Diagnosis and surgical treatment of pulmonary sclerosing hemangioma: Report of 33 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,05(10):861-863.
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肺硬化性血管瘤的诊断和外科治疗(附33例报告)()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年10期
页码:
861-863
栏目:
出版日期:
2005-10-30

文章信息/Info

Title:
Diagnosis and surgical treatment of pulmonary sclerosing hemangioma: Report of 33 cases
作者:
金锋; 王成; 刘景亮; 杨宝龄
山东省胸科医院胸外科,济南,250013
Author(s):
Jin Feng;  Wang Cheng;  Liu Jingliang;  et al.
Department ofThoracic Surgery, Shandong ChestHospital, Jinan250013, China
关键词:
肺肿瘤; 硬化性血管瘤; 诊断; 外科治疗
Keywords:
Pulmonary neoplasm; 　Sclerosing hemangioma; 　Diagnosis; 　Surgical treatment
分类号:
R734.2
文献标志码:
A
摘要:
目的探讨肺硬化性血管瘤诊断和外科治疗.方法回顾性分析我院1987～2002年33例(34个肿瘤)肺硬化性血管瘤的临床资料.男6例,女27例.年龄24～57岁,平均41.3岁.症状以痰中带血23例;无症状10例.影像学均表现为孤立性结节,其中5例有新月征.结果术前28例诊断为肺良性肿瘤,其中5例考虑诊断为肺硬化性血管瘤;1例经皮肺穿刺确诊为肺硬化性血管瘤;4例误诊为肺癌.全组均行手术治疗,其中肺叶切除21例,双肺叶切除1例,肺段切除5例,楔形切除4例(其中1例为经胸腔镜双侧同期切除),肿瘤摘除2例.手术时间45 min～3.5 h,平均1.5 h,出血量100～600 ml,平均230 ml.无围术期死亡.33例随访3～10年,平均5.5年,无一例复发.结论对中年女性,痰中带血,影像学表现为孤立性结节,特别是有新月征者,应考虑本症.经皮肺穿刺病理学检查,可使部分患者确诊.手术治疗效果良好.
Abstract:
Objective　To discuss the diagnosis and surgicalmanagement of pulmonary sclerosing hemangioma (PSH).　 M ethods　Clinical records of33 cases ofPSH (34 lesions) in this hospital from 1987 to2002 were reviewed. Therewere 6male cases and 27 female cases, with amean age of41. 3 years (range, 24~57 years). Twenty-three cases had an initial symptom of bloody sputum, while 10 caseswere disclosed by physical examinations. Image findings revealed solitarymass of the lung in all the cases, in 5 ofwhich a“crescent sign”was presented.　Results　Preoperatively, 28 caseswere diagnosed as having pulmonary benign tumors ( including 5 cases of suspected sclerosing hemangioma), 1 case was clarified as having PSH by percutaneous needle aspiration cytology, and 4 cases were misdiagnosed as having lung cancer. All the patients received surgical treatment, including 21 cases of unilateralpulmonary lobectomy, 1 case ofbilateral lobectomy, 5 cases of segmentectomy, 4 cases ofwedge resection ( including 1 case ofbilateral thoracoscopicwedge resection), and 2 cases of tumorexcision. The operation timewas45~210min (mean, 90min), and the blood losswas 100~600 ml (mean, 230 ml). No peri-operative deathswere encountered. Follow-up surveys in 33 cases for 3~10 years (mean, 5. 5 years) found no recurrence.　Conclusions　In middle- aged women, if the sign of bloody sputum develops, and image findings indicate the solitarymass of the lung, especiallywith a“crescent sign”, a diagnosis ofPSH is possible. Percutaneous needle aspiration cytology is helpful to make a confirmative diagnosis in some patients. It is advisable to manage the disease surgically.

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更新日期/Last Update: 2014-04-29