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先天性多囊肺的外科治疗
引用本文:段明科,王继武,饶旭光,徐凤英,马立民,杨伟,徐小华. 先天性多囊肺的外科治疗[J]. 中国综合临床, 2007, 23(1): 39-40
作者姓名:段明科  王继武  饶旭光  徐凤英  马立民  杨伟  徐小华
作者单位:515041,广东省汕头市,汕头大学医学院第二附属医院胸心外科
摘    要:目的评价外科手术治疗先天性多囊肺的临床效果。方法回顾性分析68例先天性多囊肺患者的临床资料。结果29例(42.6%)行肺叶切除,25例(36.8%)行全肺切除,术中发现隔离肺3例,术后病理证实伴发腺癌1例,鳞癌1例。本组无手术死亡,长期随访均无严重并发症和复发,患者生活质量明显改善。结论先天性多囊肺一经诊断应尽早择期行病肺切除术,肺部感染反复发作、病史长者手术较困难,并有恶变倾向,应注意定期随访。

关 键 词:先天性多囊肺  外科手术  肺隔离症  腺癌
文章编号:1008-6315(2007)01-0039-02
修稿时间:2006-09-18

Surgical treatment of congenital multicystic pulmonary
Duan Mingke, Wang Jiwu, Rao Xuguang,et al.. Surgical treatment of congenital multicystic pulmonary[J]. Clinical Medicine of China, 2007, 23(1): 39-40
Authors:Duan Mingke   Wang Jiwu   Rao Xuguang  et al.
Affiliation:Department of Thoracic and Cardiovascular Surgery, The 2nd Affiliated Hospital of Shantou University Medical College,Shantou 515041 , Guangdong
Abstract:Objective To review the experience of surgical intervention in the congenital multicystic pulmonary (CMP).Methods Clinical data of 68 patients with CMP were retrospectively analyzed.Results 29 (42.6%) patients underwent lobectomy and 25 (36.8%) total pneumonectomy.During operation,left-sided pulmonary sequestration was confirmed in 3 patients.There was no death in all cases.Diagnoses were confirmed by pathology analysis.Two patients were complicated with malignant lesions.Conclusions Early surgical intervention may avoid the development of serious complications for patients with CMP.Delayed diagnosis and surgical management usually results in significant morbidity and mortality.
Keywords:Congenital multicystic pulmonary  Surgical treatment  Pulmonary sequestration  Adenocarcinoma
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