成人肺隔离症的临床诊断与误诊分析  

Clinical diagnosis and misdiagnosis of adult pulmonary sequestration

作　　者：郑素歌[1] 

机构地区：[1]河南省人民医院呼吸内科,郑州450003

出　　处：《临床医学》2013年第12期110-111,共2页Clinical Medicine

摘　　要：目的总结成年人肺隔离症的发生与分型及临床病理特点,以期减少误诊率。方法回顾性分析经手术证实的15例肺隔离症患者的临床资料。结果 15例患者临床表现为反复咳嗽、咳痰10例,咯血2例,无症状2例,胸疼1例。术前误诊肺囊肿6例,肺癌3例,肺炎性假瘤1例,误诊率为66.7%。14例为叶内型,1例为叶外型。组织病理学显示肺组织发育不良和慢性炎症改变。结论肺隔离症临床症状无特异性,误诊率较高。增强CT可作为成人疑似病例的首选检查方法。Objective To Summary the occurrence and classification of adults with pulmonary sequestration, and its clinical pathological features, in order to reduce the misdiagnosis rate. Methods The clinical data of 15 patients with pulmonary seques- tration confirmed by operation were retrospectively analyzed. Results In this group of 15 patients, 10 cases have repeated coug- hing, purulent sputum, 2 cases of hemoptysis, 2 eases of asymptomatic, 1 case of chest pain. Before surgery, 6 cases were mis- diagnosed as lung cyst, 3 cases were were misdiagnosed as lung cancer, and 1 case was misdiagnosed as inflammatory pseudotu- mor. The misdiagnosis rate was 66.7%. Fourteen cases were intralobular type, 1 case was extralobular type. Whose tissues were all detected dysplasia and chronic inflammatory by histopathological examinations. Conclusion Because of the clinical symptoms are non - specific, the misdiagnosis rate is high. Enhanced CT scans should be used as a preferred screening method for suspec- ted cases.

关 键 词：肺隔离症 误诊率 诊断 

分 类 号：R655.3[医药卫生—外科学]