肺隔离症手术治疗10例观察  

Surgical Treatment for 10 Cases of Pulmonary Sequestration

作　　者：龚丽明[1,2] 黄云超[3] 施建新[4] 高成新[4] 郭毅[1,2] 

机构地区：[1]昆明医学院第四附属医院 [2]云南省第二人民医院心胸外科,云南昆明650021 [3]昆明医学院第三附属医院胸心血管外科,云南昆明650118 [4]上海交通大学附属上海胸科医院胸外科,上海200052

出　　处：《昆明医学院学报》2010年第10期115-117,共3页Journal of Kunming Medical College

摘　　要：目的探讨肺隔离症的诊断和治疗方法.方法昆明医学院第四附属医院心胸外科6 a间收治了10例肺隔离症患者,采用肺叶切除或隔离肺切除进行治疗.结果 10例患者术前确诊5例,术中探查发现3例,术中异常血管破裂出血而发现2例,无围手术期死亡,1例患者术后因血性胸液量较多而二次开胸,2例患者术后出现心律失常,其余患者均痊愈,随访3月～5 a,复查X线胸片及胸部CT均正常.结论肺隔离症是临床上不多见的肺先天性畸形,加强对该病的认识、提高术前确诊率是避免并发症出现的关键,手术治疗可取得良好效果.Objective To explore the diagnosis and treatment strategies of pulmonary sequestration.Methods The clinical data of 10 confirmed patients with pulmonary sequestration admitted in Department of Cardiothoracic Surgery,the 4th Affiliated Hospital of Kunming Medical College during 6 years were collected,and the diagnosis and treatment strategies were analyzed,including lobectomy or isolated lung resection.Results The 5 cases of the 10 pulmonary sequestration patients were confirmed before operation,the 3 cases were found in exploratory surgery operation and the 2 cases were found during operation because of rupturing of abnormal blood vessels and bleeding.No patients died in the perioperative period.One patient was performed the second thoracotomy because of bloody pleural effusion after the operation.Arrhythmia was found in two patients after operation,other patients were cured.The 10 patients were followed up for 3 months to 5 years.The X-ray and chest CT were normal.Conclusions Pulmonary sequestration is a rare congenital pulmonary malformation in clinic.It is the key to avoid complications that enhancing awareness of the disease and improving the preoperative diagnosis rate.Surgical treatments can achieve good results.

关 键 词：肺隔离症 先天性肺畸形 异常血管 手术治疗 肺叶切除 

分 类 号：R655.3[医药卫生—外科学]