肺动静脉瘘13例的诊断和外科治疗分析 |
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引用本文: | 罗玉忠,何巍,覃家锦,廖寿合.肺动静脉瘘13例的诊断和外科治疗分析[J].中国医学文摘:老年医学,2010(10):972-973. |
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作者姓名: | 罗玉忠 何巍 覃家锦 廖寿合 |
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作者单位: | 广西医科大学第一附属医院心胸外科,南宁530021 |
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摘 要: | 目的 总结肺动静脉瘘的诊断和外科治疗的经验.方法 对13例肺动静脉瘘病例资料进行回顾性分析.结果 13例中11例经胸部螺旋CT扫描及血管三维重建确诊,2例经肺动脉造影确诊;手术治疗12例,肺叶切除10例,肺楔形切除2例,手术后症状消失或改善,临床治疗效果满意;1例弥漫型患者放弃治疗.结论 螺旋CT扫描及血管三维重建是肺动静脉瘘目前最常用的诊断手段,对于局限性病变外科手术有良好的疗效,手术方式应根据病情灵活掌握.
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关 键 词: | 肺动静脉瘘 诊断 外科治疗 |
Surgical treatment for pulmonary arteriovenous fistula LUO Yu-zhong, |
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Institution: | HE Wei QIN Jia-jin LUO Yu-zhong, HE Wei, QIN Jia-jin, et al.( Department of Cardlothoraeic Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China) |
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Abstract: | Objective To Bummarize the experience in dlagnosis and surgical treatment of pulmonary arterlovenous fistula. Methods Clinical data of 13 patients with pulmonary arteriovenous fistula were retrospectively ana- lyzed. Results Eleven patients were diagnosed by chest spiral CT scan and vascular three-dimensional reeonstrue- tion, two patients were diagnosed by pulmonary angiography. Twelve patients received surgical operation successfully, lobectomy in 10 patients, pulmonary wedge resections in 2 patients. Symptoms disappeared or improved after opera- tion, and clinical results were satisfactory. One patient with diffuse lesion gave up treatment. Conclusion Spiral CT scanning and vascular three-dimensional reeonstruetion are the most common diagnostic tools for pulmonary arteriove- nous fistula. Surgery for limited pulmonary arteriovenons fistula has a good effect, and surgical procedure should be flexibly used on the basis of disease conditions. |
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Keywords: | Pulmonary arteriovenous fistula Diagnosis Surgical treatment |
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