肺隔离症的诊断及外科治疗17例临床分析  

Clinical Analysis of 17 Cases the Diagnosis and Surgical Treatment of Pulmonary Sequestration

作　　者：杨富涛[1] 

机构地区：[1]南阳市中心医院胸外科,河南南阳473009

出　　处：《中国卫生标准管理》2014年第18期76-78,共3页China Health Standard Management

摘　　要：目的 对肺隔离症的分类、诊断、临床特点及外科治疗进行临床分析总结。方法 回顾性临床分析经手术和病理证实为肺隔离症的17例临床资料。自2000年1月-2012年7月共发现肺隔离症17例。术前诊断为肺隔离症11例,支气管扩张2例,肺囊肿综合征2例,支气管肺癌1例,纵隔肿瘤1例。11例术前螺旋增强CT和CTA发现异常供血动脉而确诊。结果 均行手术切除,术后病理确诊。恢复顺利,无手术死亡,随访14例,均生活良好,未见复发。结论 本病常于青年时发病,临床表现无特异性。胸部增强CT是临床上最主要的术前检查方法。手术治疗肺隔离症效果满意,胸腔镜手术在肺隔离症的诊断与治疗方面具有优越性。Objective Pulmonary sequestration classification, diagnosis, clinical features and surgical treatment for clinical analysis summary. Methods Retrospective analysis of clinical surgery and pathology confirmed by clinical data of 17 cases of pulmonary sequestration. Since January 2000-July 2012 were found in 17 cases of pulmonary sequestration. Preoperative diagnosis of pulmonary sequestration in 11 cases, 2 cases ofbronchiectasis, two cases ofpuknonary cysts syndrome, one case of lung cancer, mediastinal tumor in 1 case. The first 11 cases ofintraoperative enhanced spiral CT and CTA abnormal feeding arteries and confirmed. Results underwent surgical resection, postoperative pathological diagnosis. Restore smooth, no death, follow-up, 14 cases were good living, no recurrence. Conelusion The disease onset is often in young, non-specific clinical manifestations. Enhanced chest CT is the most important preoperative clinical examination methods. Surgical treatment of pulmonary sequestration satisfactory, thoracoscopic surgery has advantages in the diagnosis and treatment of pulmonary sequestration aspect.

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]