肺隔离症诊断及外科治疗7例分析

Diagnosis and surgical treatment of pulmonary sequestration:a report of 7 cases

摘要: 目的: 总结肺隔离症(pulmonary sequest ration,PS)的临床特征、诊断及手术治疗经验,提高对PS的诊疗水平。方法: 对手术治疗7例PS的临床资料进行回顾性分析。结果: 术前诊断为肺囊肿综合征4例,PS 2例,支气管肺癌1例。异常血管源于胸主动脉3例,腹主动脉2例,肋间动脉1例,膈动脉1例。无手术死亡病例。结论: PS发病率低,临床表现缺乏特异性,易误诊或漏诊,治疗以手术治疗为主。

Abstract: Objective: To summarize the experience in diagnosis and surgical treatment of pulmonary sequestration(PS). Methods: The clinical data of seven cases of PS were retrospectively analyzed. Results: Before operation,pulmonary cyst syndrome was diagnosed in 4 cases,pulmonary sequestration in 2 cases and bronchogenic carcinoma in 1 case. Anomalous artery from the thoracic aorta was detected in 3 cases,from the abdominal aorta in 2 cases,from the intercostal artery in 1 case and from the diaphragmatic artery in 1 case. All the cases received surgical operation and no one died. Conclusions: The incidence of pulmonary sequestration is low and the clinical manifestations are not specific,so it's frequently misdiagnosed or miss-diagnosed. The main therapy for PS is surgery.