摘要
目的对肺隔离症的分类、发病率、临床特点、诊断和外科治疗加以探讨。方法回顾性分析23例肺隔离症的临床资料及文献复习。结果自1974年6月至2006年11月间经手术治疗和病理确诊的23例肺隔离症,发病率占同期手术的0.29%,其中叶内型19例(83%),叶外型4例(17%);18例表现为反复肺部感染,症状为发热、咳嗽、咯血,5例无症状。术前确诊或拟诊14例(61%)。结论肺隔离症诊断方法主要为 X 线、胸 CT、MRI 检查,一旦确诊均应手术治疗。
Objective To investigate the classification, incidence, clinical characteristics, diagnosis and surgical treatment of pulmonary sequestration. Methods The clinical data of 23 patients with pulmonary sequestration, 13 males and 10 females, aged 39 （ 12-71 ）, with a course of 3 days to 9 years, hospitalized during the period from May 1974 to November 2006, were reviewed retrospectively. Results The cases of sequestration were presents which were resected and confirmed by pathology in our department. The incident rate of pulmonary sequestration was 0. 29% among the patients who underwent operation during that period. Nineteen （83%） of the 23 patients suffered from interloper pulmonary sequestration and 4 suffered from extralobar pulmonary sequestration. Eighteen of the 23 patients had recurrent pneumonia with the clinical manifestations of cough, fever, and hemoptysis. Fourteen cases got confirmed diagnosis before operation. Conclusion The diagnosis of pulmonary sequestration mainly depends on X-ray, CT and MRI. The sequestration should be removed whenever it is diagnosed.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2007年第23期1616-1617,共2页
National Medical Journal of China
关键词
肺隔离症
叶内型
叶外型
外科治疗
Sequestration
Intralobar
Extralobar
Surgical treatment
