肺部炎性假瘤（附28例误诊分析）

１９７８年９月至１９９４年７月，我科对肺炎性假瘤３０例施行手术治疗，术前误诊高达２８例，占９３．３％。３０例中男２１例，女９例，平均年龄５３．４岁，这与文献报道有显著不同。本文从ＩＰＬ临床表现，Ｘ线征象及手术所见等方面对可引起误诊的因素进行了仔细分析。提出了减少误诊的措施，并对ＩＰＬ的预防和治疗作了讨论。

INFLAMMATORY PSEUDOTUMOR OF THE LUNG(A REPORT OF 28 CASES MISDIAGNOSIS)

From September 1978 to July 1994,thirty patients with inflammatory pseudotumor of the lung(IPL)were operated on in our hospital.There were 21 male and 9 female, average age 53.4 years,which were significantly different from reports formerly(P<0.02 and 0.01 respectively). Preoperatively 28 cases were misdiagnosed.Factors that might lead to make a misdiagnosis basing on IPL's clinical apperance,roentgenograph and intraoperative findings were analysed, and hints were suggested for lowering the rate of misdiagnosis,Both prevention and treatment of IPL were also discussed.