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巨大肺血管瘤12例临床分析

Clinical Analysis for 12 Cases of Patient with Giant Lung Hemangioma

  • 摘要: 目的 探讨肺血管瘤的临床特点、诊断和手术治疗经验。 方法 回顾性分析1990年2月~2008年6月12例巨大肺血管瘤的临床资料,肺海绵状血管瘤2例,肺动脉瘤3例,肺动静脉瘘7例。均行肺叶切除,双侧多发患者,仅切除严重一侧肺叶。 结果 全组无手术死亡及严重并发症。术中出血80~150ml。随访6~204月,术侧无复发。 结论 综合病史及各项影像学检查有助于特征显示和术前正确诊断。对巨大肺血管瘤的手术治疗应采取肺叶切除。对广泛脏壁层胸膜黏连病例,手术时应慎重对待。

     

    Abstract: Objective To study the clinical and radiologic characteristic of lung hemangioma and to discuss the diagnosis and treatment of this disease. Methods Data of 12 giant lung hemangioma cases, hospitalized from February 1990 to June 2008 were analyzed retrospectively. Two cases were lung hemangioma cavernosum. Three cases were pulmonary artery aneurysms. Seven cases were pulmonary arteriovenous fistula. All patients were treated by pulmonary lobectomy. Bilateral multiple cases were treated by pulmonary lobectomy of the serious lobe. Results No perioperative death and serious complications happened. Bleeding ranged from 80~150 ml. There was no recurrence during 6 to 204 months follow-up. Conclusion Comprehensive history and various imaging technology are helpful to the characteristic showing and right preoperative diagnosis. The treatment of giant lung hemangioma is pulmonary lobectomy. But the cases with extensive adhesions of visceral and layer pleural should be treated prudently.

     

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