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