肺隔离症的外科诊治

目的探讨肺隔离症的诊断、分类及外科治疗。方法对9例临床病例的诊治进行回顾分析并复习相关文献。结果2006年1月-2013年1月收治经手术及病理证实为肺隔离症病例9例，男5例，女4例，发病年龄19—46岁，叶内型8例、叶外型1例，病变位于左肺7例，右肺2例，术前确诊率55．56％，均经手术治愈。结论肺隔离症是一种少见的肺部先天畸形，临床表现缺乏特异性，术前确诊率低，手术治疗为主，识别发病部位、查找处理隔离肺异常血管为术中关键，术后预后良好。

Diagnosis and surgical treatment of pulmonary sequestration

Objective To explore the classification,diagnosis, and surgical treatment of pulmonary sequestration. Meth- otis The clinical data of 9 patients with pulmonary sequestration were retrospectively reviewed. Results From 2006. 1 to 2013. 1,9 patients with pulmonary sequestration were operated and were pathologically confirmed. There were 5 males and 4 females aged 19 -46 years. 8 cases suffered from intra lobar sequestration and 1 eases suffered from extra lobar se- questration. The pulmonary sequestration was in left lobe in 7 cases and right lobe in 2 cases. 55.56 percent of cases con- firmed preoperative diagnosis. All cases were cured. Conclusion Pulmonary sequestration is rare pulmonary congenital deformity. The clinical manifestations of pulmonary sequestration are nonspecific. Rate of confirmed preoperative diagno- sis is low. Surgery is the optimal treatment and can achieve good outcomes. Identifying invasion site and lookup and man- agement of the abnormal blood vessel is the key point.