期刊文献+

27例肺隔离症的临床分析 被引量:17

Diagnosis and treatment of pulmonary sequestration
暂未订购
导出
摘要 目的 :探讨肺隔离症的病因、诊断及治疗。方法 :回顾性分析 2 7例手术证实为肺隔离症的临床资料并复习相关文献。结果 :1985年至 2 0 0 1年我院共手术治疗 2 7例肺隔离症 ,其中叶内型 2 3例(85 % ) ,叶外型 4例 (15 % )。叶内型以咳嗽、脓痰、咯血、胸痛等呼吸道感染症状为主 ,叶外型多无症状。术前确诊或拟诊本症 17例 (6 3% ) ,主要诊断手段为胸片、CT、选择性动脉造影。本组均为肺叶切除 ,无手术死亡及并发症发生。结论 :肺隔离症发病率低 ,诊断方法主要为X线、CT、MRI检查 。 Objective:To explore the cause,diagnosis and treatment of pulmonary sequestration.Method:27 cases analyzed and literatures reviewed.Result:Between 1985 and 2001,27 cases(85%)were intralobar type,4 cases(15%)were extralobar type.Most of the 23 cases accompanied with respiratory infections,the 4 cases had no symptoms.17 cases(63%) were confirmed before operation by X\|ray,CT,MRI and angiography.Lobectomy was performed in every case,no post\|operative morbidity happened.Conclusion:Despite its rarity,X\|ray,CT,MRI are sufficiently suggestive of diagnosis of pulmonary sequestration.Resection of the lung leads to excellent results and the long\|term outcome is highly favorable.
出处 《心肺血管病杂志》 CAS 2003年第1期11-13,共3页 Journal of Cardiovascular and Pulmonary Diseases
关键词 肺隔离症 临床分析 病因 诊断 治疗 肺叶切除术 Bronchopulmonary sequestration\ Diagnosis respiratory system\ Treatment
  • 相关文献

参考文献8

  • 1张雷,丁嘉安,姜格宁,谢博雄,陈昶.肺隔离症的诊断和治疗[J].中华结核和呼吸杂志,1998,21(11):675-677. 被引量:55
  • 2王泰琪 孙德魁.肺隔离症[A].见:顾恺时主编.胸心外科手术学 第二版[C].北京:人民卫生出版社,1993.368-371.
  • 3张志勇,洪应中.肺隔离症[J].实用放射学杂志,2001,17(8):622-624. 被引量:13
  • 4Savic B, Birtel FJ, Tholen W, et al. Lung sequestration : report of seven cases and review of 540 published cases. Thorax, 1979,34:96-101.
  • 5Pryce DM. Lower accessory pulmonary with intaiobar sequestration of lung : report of seven case. J Pathol, 1946,58 : 457-467.
  • 6Marleta R. Congenital lesions of the lung. In: Thomas W.shields, Joseph Locicero Ⅲ, Ronald B. ponn. General thoracic surgery.5^th ed. Lippincott Williams & Wilkins: Wolters Kluwer,2000,937-949.
  • 7Ooi GC, Cheung CW, Lam WK, et al. Pulmonary sequestration:diagnosis by magnetic resonance angiography and computed tomography. Chin Med J( Engl), 1999,112(7) :668-670.
  • 8Becmeur, F, Horta-Geraud P, Donato L, et al. Pulmonary sequestrations: prenatal ultrasound diagnosis treatment and outcome. J Pediatr Surg, 1998,33 (3) :492-496.

二级参考文献17

  • 1[1]Felker RE,Tonkin IL. Imaging of pulmonary sequestration[J]. AJR,1990,154(2) :241 -9.
  • 2[2]Thomhill BA, Cho KC, Morehouse HT. Gastric duplication associated with pulmonary sequestration: CT manifestations [J]. AJR, 1982,138(6) :1168 -71.
  • 3[3]Karp. W. Bilateral sequestration of the lung[J]. AJR,1997,128(3):513 -5.
  • 4[4]Piccione W Jr,Burt ME. Pulmonary sequestration in the neonate[J].Chest,1990,97 (1) :244 -6.
  • 5[5]Kim HJ,Kim JH,Chung SK,et al. Coexistent intralobar and extralobar pulmonary sequestration: imaging findings [J]. AJR, 1993,160 (6):1199 -200.
  • 6[6]Frush DP,Donnelly LF. Pulmonary sequestration spectrum: a new spin with helical CT[J]. A JR, 1997,169 (3) :679 - 82.
  • 7[7]Tokel K;Boyvat F;Varan B Coil embolization of pulmonary sequestration in two infants: a safe alternative to surgery [J]. AJR, 2000, 175(4) :993 -5.
  • 8[8]Lewis MM, Tsou E. A 66 - year - old man with dyspnea,left lower lobe infiltrate, and abnormal imaging[J]. Chest ,2000,117 (6): 1782 - 6.
  • 9[9]Stem EJ,Webb WR,Warnock ML,et al. Bronchopulmonary sequestration: dynamic, ultrafast, high - resolution CT evidence of air trapping[J]. A JR,1991,157(5) :947 -9.
  • 10[10]Gomendoza M, Padmanabhan K, Nicolas A, et al. CT appearance of esophagobronchial fistula: a clue to lung sequestration letter [J].AJR,1997,169(2) :601 -2.

共引文献64

同被引文献88

引证文献17

二级引证文献54

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部