肺隔离症的诊断和手术治疗分析  

The Diagnosis and Surgical Treatment of Pulmonary Sequestration

作　　者：张珩[1] 张绍明[1] 徐小平[1] 张京[1] 

机构地区：[1]中国人民解放军第455医院心胸外科,上海200052

出　　处：《中国临床医学》2009年第4期534-535,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:总结肺隔离症的诊治经验。方法:回顾分析8例肺隔离症患者的临床资料,分析其临床表现,诊断及外科治疗。结果:本组8例肺隔离症均为叶内型。最常见症状为反复咳嗽、咳痰,发热、痰中带血、咯血和胸痛。病灶大多位于左肺下叶。术前临床确诊率为37.5%。8例均接受外科手术治疗,手术方式主要为肺叶切除术,异常供血动脉均来源于体循环的降主动脉或腹主动脉。结论:肺隔离症可通过胸部增强CT或MRI检查得以确诊,术前确诊率有待提高。手术切除是治疗肺隔离症的主要手段。Objective：To summarize the clinical characteristics, classification, diagnosis and surgical treatment of pulmonary sequestration. Methods：The clinical data of 8 patients with pulmonary sequestration were reviewed retrospectively. Results：All patients were diagnosed as the intralobar sequestration （ILS）. The most frequent complaint were cough, fever, hemoptysis, and chest pain. Most of sequestrations localized in the lower lobe of the left lung. The rate of accurate diagnosis prior to operation was only 3 in 8 cases, accounting for 37.5%. Lobectomy was performed in most of patients. All the aberrant systemic arteries arose from the descending aorta or abdominal aorta. Conclusion：The diagnosis of pulmonary sequestration mainly depends on CT and MRI. The rate of accurate diagnosis prior to operation should be elevated in future. Lung sequestration should be removed whenever it was diagnosed.

关 键 词：肺隔离症 外科治疗 

分 类 号：R563.9[医药卫生—呼吸系统]