肺隔离症2例并文献复习

目的提高对肺隔离症临床特点的认识。方法对我科近2年确诊的2例肺隔离症患者的临床资料进行回顾性分析。结果肺隔离症大多数缺乏特征性临床表现,表现为反复咳嗽、咳痰、胸痛、咯血等。2病例均确诊,主要诊断手段为胸片、螺旋CT平扫+增强及DSA。1例成功行介入治疗,术后无复发。结论肺隔离症极易误诊,诊断方法主要为胸片、螺旋CT平扫+增强及三维重建、数字减影动脉造影术(DSA),螺旋CT增强扫描可显示异常供血动脉是诊断肺隔离症的首选检查方法。手术是本症最佳治疗方法,近年来介入治疗为微创治疗提供新的方法。

A Clinical Analysis of Pulmonary Sequestration on 2 Cases and Review of Correlative Literature

Objective To increase awareness of pulmonary sequestration. Methods Two cases of pulmonary sequestration patients were retrospectively analyzed and the correlative literatures were reviewed. Results Most of pulmonary sequestration lacks char.acteristic of clinical manifestations, most manifested in repeated cough, sputum, chestpain, hemoptysis. 2 cases were diagnosed, the main diagnostic tool for the chest X-ray, spiral CT enhancement scanning and digital subtraction arteriography （DSA）. One case Successful interventional treatment of postoperative recurrencel Conclusion Pulmonary sequestration are easily misdiagnosed. The main method for the examination included X-ray, CT, 3DSCAT and DSA. 3D reconstruction with enhanced spiral CT can detect anomalous systemic artery, which should be the first choice in diagnose of pulmonary sequestration, and the surgical operation is the best treatment for the disease, in recent years, interventional treatment to provide a new method for the minimally invasive treatment.