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良性肺肿瘤患者手术治疗结果的评估

Evaluation of the results of surgery treatment in patients with benign lung tumors.

作者信息

Bagheri Reza, Haghi Seyed Ziaollah, Dalouee Marziyeh Nouri, Nasiri Zakiyeh, Rajabnejad Ata'ollah

机构信息

Department of Thoracic Surgery, Cardiothoracic Surgery and Transplant Research Center, Emam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Lung India. 2015 Jan-Feb;32(1):29-33. doi: 10.4103/0970-2113.148436.

DOI:10.4103/0970-2113.148436
PMID:25624593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4298914/
Abstract

BACKGROUND

Lung tumors are among the common tumors and can be benign or malignant. Benign lung tumors are less common compared to the malignant types. Recognition of the clinical symptoms, types of tumors, paraclinical findings, and treatment approaches can bring better therapeutic results. The present study aims to evaluate the characteristics, diagnosis methods, and therapeutic approaches of different benign lung tumors.

MATERIALS AND METHODS

In this retrospective study, 32 patients with a diagnosis of benign lung tumor, who had been referred to the Mashhad University of Medical Sciences between 1981 and 2009, were studied. Some of the studied variables were symptoms, the pulmonary location involved, surgery technique, pathology findings, recurrence, and surgery complications. Data were analyzed by SPSS package version 16.

RESULTS

The average age of the patients was 51.69 ± 20.5 years. Prevalence of benign lung tumors was equal in both genders. The most common symptom was cough (31.2%); right lung involvement was more common (71.9%), and the most common sampling technique was transbronchial lung biopsy (TBLB) (62.5%); 53.1% of the patients were operated on by thoracotomy and the wedge resection technique. In 78.1% of the patients, no complications occurred after surgery. There was no recurrence. Most operations were performed in one month after the start of the symptoms (68.8%).

CONCLUSIONS

Benign lung tumors are commonly diagnosed by routine radiography because most of them are asymptomatic. The most common finding in radiography is the presence of mass in the lungs. Transbronchial lung biopsy is a valuable technique to be used for diagnosis. We chose thoracotomy and wedge resection for the treatment of patients. We recommend this approach as a useful method.

摘要

背景

肺部肿瘤是常见肿瘤之一,可分为良性和恶性。与恶性肿瘤相比,良性肺部肿瘤较为少见。认识临床症状、肿瘤类型、辅助检查结果及治疗方法可带来更好的治疗效果。本研究旨在评估不同良性肺部肿瘤的特征、诊断方法及治疗方法。

材料与方法

在这项回顾性研究中,对1981年至2009年间转诊至马什哈德医科大学的32例诊断为良性肺部肿瘤的患者进行了研究。一些研究变量包括症状、肺部受累部位、手术技术、病理结果、复发情况及手术并发症。数据采用SPSS 16.0软件包进行分析。

结果

患者的平均年龄为51.69±20.5岁。良性肺部肿瘤在两性中的患病率相等。最常见的症状是咳嗽(31.2%);右肺受累更为常见(71.9%),最常见的采样技术是经支气管肺活检(TBLB)(62.5%);53.1%的患者接受了开胸楔形切除术。78.1%的患者术后未发生并发症。无复发情况。大多数手术在症状出现后1个月内进行(68.8%)。

结论

良性肺部肿瘤通常通过常规放射检查诊断,因为大多数患者无症状。放射检查中最常见的发现是肺部有肿块。经支气管肺活检是一种有价值的诊断技术。我们选择开胸楔形切除术治疗患者。我们推荐这种方法作为一种有效的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/77e052acb398/LI-32-29-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/faadcb6c056d/LI-32-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/90eef003cd1e/LI-32-29-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/77e052acb398/LI-32-29-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/faadcb6c056d/LI-32-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/90eef003cd1e/LI-32-29-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7ea/4298914/77e052acb398/LI-32-29-g004.jpg

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