【摘要】 目的研究孤立性肺结节(SPN)的临床特征,探讨SPN诊断与治疗。方法胸腔镜手术治疗肺结节64例,分析年龄、性别、症状、吸烟史、肺内结节的影像学表现、手术情况、术后病理等因素。结果 SPN的恶性病变与吸烟史,肿瘤直径,肿瘤的边界,肿瘤钙化有关。64例患者中诊断为恶性病变36(56.25%)例。28(43.75%)例术中快速病理诊断为良性病变,其中错构瘤4例,结核球14例,炎性假瘤10例。结论 SPN的良恶性与吸烟史,结节大小,肿瘤边界,是否钙化有关;胸腔镜手术有助于SPN病理诊断与治疗。更多还原

【Abstract】 Objective To analyze the clinical manifestation of patients with solitary pulmonary nodules(SPN) and to investigate the diagnosis and treatment of SPN.Methods 64 patients with SPN were selected in this study,and their age,gender,symptoms,smoking history,imaging features of pulmonary tumor,operation information and postoperative pathological characteristics were retrospectively analyzed.Results The analysis showed that the malignant affection of SPN was correlated with smoking history,tumor diameter,tumor border,and calcification.There were 36 cases of malignant affection(56.25%) and 28 cases of benign affection(43.75%).The benign patients included 4 cases of hamartoma,14 cases of tuberculoma,and 10 cases of inflammatory pseudotumor.Conclusion The risk factors of patients with SPN are smoking history,nodule diameter,tumor border,and calcification.VATS is helpful in the diagnosis and treatment of patients with SPN.更多还原