【摘要】 目的总结肺错构瘤的诊断和治疗经验。方法1例腔内型错构瘤在纤维支气管镜下行肿物摘除术,余42例行胸腔镜或胸腔镜辅助小切口手术,其中肺楔形切除40例,肺叶切除1例,双侧病灶活检1例。结果43例病理均为错构瘤,其中1例为多发性肺错构瘤,1例肺癌合并肺错构瘤。术后病理诊断与术前诊断符合率11.6%(5/43)。37例随访4个月~11年,平均41.2月,无复发与恶变。结论肺错构瘤术前难以确诊,腔镜手术可以提供明确的诊断并能彻底切除病灶,创伤小,恢复快。更多还原

【Abstract】 Objective To summarize the experience of the diagnosis and treatment of pulmonary hamartoma.Methods Bronchoscopic enucleation of tumor was conducted in 1 case of endobrochial hamartoma, while video-assisted thoracoscopic surgery was performed in 42 cases(consisting of 40 cases of pulmonary wedge resection,1 case of lobectomy,and 1 case of bilateral lesion biopsy).Results Pathological examinations revealed hamartoma in all the 43 cases,including 1 case of multiple lesions and 1 case of hamartoma complicated with lung cancer.The diagnostic accordance rate was 11.6%(5/43).Follow-up in 37 cases for 4 months~ 11 years(mean,41.2 months) showed no recurrence or malignant change.Conclusions Pulmonary hamartoma is difficult to be confirmatively diagnosed preoperatively.Endoscopic operations can give an accurate diagnosis and a thorough removal of the lesion,with minimal invasion and rapid recovery.更多还原