肺隔离症的诊断及外科治疗

目的通过探讨肺隔离症的诊断和外科治疗方法 ,提高对本病的认识。方法回顾性分析2002年11月-2009年6月期间唐都医院收治的肺隔离症20例临床资料。本病多表现为咳嗽、咳痰、发热、咯血、反复肺部感染,仅9例经增强CT和64排螺旋CT检查术前确诊。全组均行手术治疗,行隔离肺切除术6例,肺下叶切除术13例,全肺切除术1例。结果术后恢复良好,无围手术期死亡,无并发症发生,均痊愈出院,出院后随访均未复发。结论反复发作的肺下叶感染和咯血应考虑肺隔离症,诊断主要依赖于X线、CT、MRI、血管造影,一经确诊或拟诊,首选手术治疗,效果良好。

Diagnosis and Surgical Treatment of Pulmonary Sequestration

Objective To promote comprehension of pulmonary sequestration by investigating the diagnosis and surgical treatment methods of this disease. Methods A retrospective analysis of the clinical records of 20 patients who were treated in Tangdu hospital from November 2002 to June 2009 was made. Most patients suffered from cough, expectoration, fever, hemoptysis and recurrent lung infections. Only 9 patients were confirmed preoperatively as pulmonary sequestration by the contrast enhanced CT and 64-slice spiral CT examinations. All patients were performed surgical operations,including 6 for isolated pulmonary resections, 13 for pulmonary lobeetomy and 1 for pneumonectomy. Results All recovered uneventfully. No significant complications occurred in the perioperative period. All were cured and discharged from hospital. No relapse was reported during follow-up period. Conclusion As to the patients with repeated infection of lobus inferior pulmonis and hemoptysis, pulmonary sequestration should be considered. Diagnosis mainly depended on the X-ray, CT, MRI and angiography. Surgical operations should be the best choice of treatment.