18例肺隔离征患者影像学诊断及手术治疗分析  

Diagnosis and surgical treatment of pulmonary sequestration: A report of 18 cases

作　　者：李鹏[1] 李德闽[1] 丛壮壮[1] 申翼[1] 

机构地区：[1]南方医科大学金陵医院(南京军区南京总医院)心胸外科,南京医学硕士研究生210002

出　　处：《医学研究生学报》2015年第5期495-497,共3页Journal of Medical Postgraduates

基　　金：国家自然科学基金(81172032)

摘　　要：目的：肺隔离征是一种先天性肺发育畸形，该病发病率低、误诊率较高。文中结合肺隔离征患者临床资料，对该病的诊断与治疗进行总结分析。方法回顾性分析南京军区南京总医院心胸外科2009年9月至2014年9月收治的18例肺隔离征患者临床资料，其中男8例、女10例，年龄20～68岁，平均（42．37±14．63）岁。所有患者均行影像学检查，主要表现为肿块影（n＝11）及囊性改变（n＝7）；均采取双腔气管内插管静脉复合麻醉，并行手术切除。结果17例叶内型行病变肺叶切除术，另1例叶外型行肺局部隔离病变切除术。明确诊断14例、误诊3例、漏诊1例。18例患者经手术治疗全部康复出院，随访8～18个月，无失访。患者生存良好，未出现与手术相关的并发症。结论肺隔离征临床表现缺乏特异性，分类诊断相对困难，手术治疗为主，术后预后良好。[Abstract ] Objective Pulmonary sequestration （PS） is a congenital development malformation of the lungs .This study aimed to explore the diagnosis and surgical treatment of PS . Methods We retrospectively analyzed the clinical data on 18 PS pa-tients （8 males and 10 females, aged 20-68 [42.34 ±14.63] years） treated in our department from September 2009 to September 2014.Medical imaging manifested tumors in 11 cases and cystic lesion in the other 7.All the patients underwent surgical resection . Results The diseased pulmonary lobes were removed for the 17 cases of the intralobar type and local resection was performed for the 1 case of the extralobar type .Fourteen of the cases were confirmed to be PS , 3 misdiagnosed, and 1 case missed at diagnosis .The pa-tients were followed up for 8-18 months after treatment , all recovered without surgery-related complications . Conclusion Pulmona-ry sequestration is a rare congenital malformation of the lungs and the lack of specific clinical manifestations makes it easy to be misdi -agnosed.Surgery is the main strategy for its treatment .

关 键 词：肺隔离症 诊断 外科治疗 

分 类 号：R563.9[医药卫生—呼吸系统]