目的　探讨肺曲菌球的诊断依据及手术治疗的可行性。方法　结合文献资料回顾 19例临床资料 ,其诊断及治疗。结果　 19例均经手术治疗及术后病理证实 ,手术无死亡及并发症。结论　根据胸部X线表现及实验室检查痰培养、纤支镜抽吸支气管分泌物霉菌培养 ,明确诊断 ,减少误诊率 ,手术治疗应为首选。 Objective To investigate the diagnosis of pulmonary aspergillosis and the feasibility of surgical treatment. Methods Combined with the literature review of 19 cases of clinical data, its diagnosis and treatment. Results All the 19 cases were confirmed by surgery and postoperative pathology. There was no death and complications during the operation. Conclusion According to chest X-ray findings and laboratory tests of sputum culture, bronchial aspirate bronchial secretions mold culture, clear diagnosis, reduce the misdiagnosis rate, surgical treatment should be the first choice.