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37例肺隔离症的诊断和治疗分析 被引量:6

Pulmonary sequestration:review of 37 cases
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摘要 目的探讨肺隔离症的诊断、鉴别诊断和治疗方法。方法回顾性分析37例手术证实为肺隔离症的临床资料并复习相关文献。结果1985年至今该院共治疗37例肺隔离症,其中叶内型33例(89%),叶外型4例(11%)。叶内型以咳嗽、脓痰、咯血和发热等呼吸道感染症状为主,叶外型多无症状。术前确诊该症10例(27%),主要诊断手段为胸片、CT、MRA、选择性动脉造影。两例患者施行了PET检查。该组均为肺叶切除,无手术死亡及并发症发生。结论肺隔离症发病率低,临床表现不特异,易误诊和遗漏。诊断方法和技术在不断提高,异常的主动脉供血血管是肺隔离症诊断的关键。手术是该症目前的治疗方法。 [Objective] To explore the cause, diagnosis and treatment of pulmonary sequestration. [Method] 37 cases were analyzed and literatures were reviewed. [Result] Between 1985 and now, 37 cases (89 %) were intralobar type, 4 cases (11%) were extralobar type. Most of the 33 cases accompanied with respiratory infections, the 4 cases had no symptoms. 10 cases (13%) were confirmed before operation by CT, MRI and angiography. Lobectomy was performed in every case, no post operative morbidity happened. [Conclusion] Despiteitsrarity, X-ray, CT, MR/ and angiography are sufficiently suggestive of diagnosis of pulmonary sequestration. Resection of the lung leads to excellent results and the long-term outcome is highly favorable.
机构地区 上海市胸科医院
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2006年第20期3168-3171,共4页 China Journal of Modern Medicine
关键词 支气管肺隔离症 诊断 治疗 bronchopulmonary sequestration diagnosis treatment
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