以多发囊肿为征象的叶内型肺隔离征1例并文献复习  

Intralobar pulmonary sequestration characterized by multiple cysts:A case report with literature review

作　　者：薛新颖[1] 王娜[1] 薛庆亮[1] 张丽娜[1] 郭丽娜[1] 李新甫 汪建新[1] 

机构地区：[1]解放军总医院呼吸科,北京100853

出　　处：《军医进修学院学报》2012年第1期88-89,F0003,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨叶内型肺隔离症(intralobar pulmonary sequestration,IPS)的临床特征、诊断和治疗。方法报道叶内型肺隔离症1例,并进行文献复习。结果患者女性,34岁,平素常有咳嗽、咳痰症状,增强CT示多发囊性密度影,无强化,周边不规则,囊腔壁可见异常受压迂曲血管影,血管来自腹腔动脉干,诊断右下肺叶内型肺隔离症。结论以多发囊肿为表现的叶内型肺隔离症临床上十分少见,极易误诊。增强CT+三维重建是诊断此病的首选方法,如能早期诊断、早期治疗并预防感染等并发症,预后较好。Objective To study the clinical features, diagnosis and treatment of intralobar pulmonary sequestration （IPS）. Methods One case of IPS was reported with its related literature reviewed. Results The patient was a 34-year-old female. Her main symptoms were cough and sputum. Enhanced CT showed a multiple cystic-density shadow, cyst wall-compressed abnormal vessels, but no enhancement and peripheral irregularity, thus IPS was diagnosed. Conclusion IPS with multi-cysts is a rare disease, which is easily misdiagnosed in clinical practice. Enhanced CT and 3-dimensional reconstruction are the first choice of its diagnosis. Its early diagnosis and treatment can prevent complications such as infection and can thus achieve a good prognosis.

关 键 词：叶内型肺隔离症 支气管肺发育不良 体层摄影术 X线 计算机 诊断 治疗 

分 类 号：R563.9[医药卫生—呼吸系统]