摘要
目的 总结小儿先天性肺囊肿的外科治疗经验。方法 本组患儿均在全麻下行外科手术治疗 ,其中占据一侧胸腔的巨大张力性囊肿 6例 ,2例术前放管引流减压。单纯囊肿摘除 9例 ,肺段及肺楔形切除各 2例 ,肺叶切除 36例 ,全肺切除 1例。结果 本组无手术死亡 ,术后并发支气管胸膜瘘 1例。 11例肺叶切除患儿随访 1～ 10年 ,肺功能各项指标均正常。结论 先天性肺囊肿应早期诊断、早期治疗。对巨大张力性肺囊肿应急诊手术 ,必要时术前放管囊内减压 ,缓解症状。对其他不同类型、不同部位的肺囊肿 ,选择不同的治疗方法。
Objective To review the experience of surgical treatment for congenital pulmonary cyst. Methods Fifty patients were operated under general anaesthesia. There were 6 giant tension cysts which were decompressed pre operatively by drainage. Simple cyst resections were carried out in 9, both wedge and segmental resections were carried out in 2, lobectomy in 36, and pneumonectomy in 1. Results There was no operative mortality. Bronchopleural fistula occurred in 1 case. Conclusions Congenital pulmonary cysts should be diagnosed early and treated promptly. Giant tension cysts should be resected as soon as possible after being drained. Operative methods and extent of resection depend on the size, number, site of the cyst and the function of the remaining lung.
出处
《中华小儿外科杂志》
CSCD
2000年第5期285-286,共2页
Chinese Journal of Pediatric Surgery
关键词
先天性肺囊肿
外科手术
儿童
Lung
Bronchogenic cyst
Pulmonary surgical procedures
