肺隔离症诊治探讨  

Diagnosis and Treatment of Pulmonary Sequestration

作　　者：王仁强[1] 

机构地区：[1]南阳市第二人民医院,南阳市473012

出　　处：《医药论坛杂志》2008年第15期19-20,共2页Journal of Medical Forum

摘　　要：目的探讨肺隔离症的诊断和治疗及术中大出血的预防措施。方法回顾分析收治的14例肺隔离症患者的临床资料。结果2004年10月～2007年10月治疗肺隔离症14例,术前12例行增强CT检查,其中4例见异常血管进入病灶诊断为肺隔离症,8例误诊而术中出现大出血。2例行MRI检查并确诊。叶内型12例,行肺叶切除;叶外型2例,行隔离肺切除。病灶10例位于左肺下叶,2例位于右肺下叶2例位于左肺上叶。无手术死亡病例。结论肺隔离症术前误诊率高,提高术前诊断率及肺下叶切除术中想到可能存在肺隔离症,是预防术中大出血的关键。手术治疗肺隔离症效果满意。Objective To explore the diagnosis and surgical treatment and the prevention methods of massive hemorrhage in operation of pulmonary sequestration. Methods 14 patients of pulmonary sequestration in three years were retrospectively studied. Results Between March 2004 and October 2007, 10 patients with pulmonary sequestration were operated, 12 patients that had been proven pulmonary sequestration by operation and pathology underwent enhanced CT scan and 4 patients were diagnosed preoperatively which showed an abnomal feeding artery 8 patients were misdiagnosed and got massive hemorrhage in surgical operation. 2 patient underwent MRI and diagnosed preoperatively 12 cases of intralobar were performed lobectomy 1 case of extralobar were resected the separated lung tissue. 10 patients had lesions in left lower lung, 1 patient in fight lower lung and 1 patient in left higher lung. No death occurred in our group. Conclusion The preoperative error diagnosis rate is high. The key to prevent massive hemorrhage in treatment is to improve preoperative diagnosis rate and pay attention to pulmonary sequestration when resect the lower lung. Surgical treatment can obtain ex- cellent results.

关 键 词：肺隔离症 诊断 外科治疗 

分 类 号：R655.3[医药卫生—外科学]