支气管肺囊肿20例诊治分析

    Diagnosis and treatment of 20 patients with bronchopulmonary cyst

    • 摘要: 目的:总结支气管肺囊肿的诊断和治疗体会。方法:回顾分析20例外科治疗支气管肺囊肿的临床资料。其中单肺叶切除14例,双肺叶切除2例,右中叶加上、下叶切除各1例,左全肺切除2例,左下叶加舌段切除1例,囊肿切除1例。结果:全组无手术死亡病例,术后胸腔引流量较多的3例100~150 ml/d,分别于术后第7或第8天胸腔注射2%利多卡因20 ml、50%葡萄糖注射液20 ml和红霉素0.75 g 1次,胸腔积液逐渐减少,术后第10~12天拔除胸管,无其它术后并发症。均痊愈出院,20例随访0.5~3年,恢复良好,无复发病例。结论:手术是治疗支气管肺囊肿的首选方法,既明确诊断,又避免误诊误治。

       

      Abstract: Objective: To summarize the learning from experience of diagnosis and treatment of bronchopulmonary cyst.Methods: The clinical data of diagnosis and treatment of 20 patients with bronchopulmonary cyst were retrospectively analyzed.The single pulmonary lobectomy was performed in 14,double pulmonary lobectomy in 2,the right middle plus upper or lower lobe pneumonletomy in 1 respectively,the left lung resection in 2 patients,the tongue section plus the left lower lobe resection in 1 patient,and excision of.Results: There was no surgical mortality in this group.The postoperative chest drainage was 100 to 150 ml every day in 3.20 ml of 1% lidocaine and erythromycin 1.0 g were injected into the chest cavity once on the 7th or 8th day to reduce pleural effusion.The drainage was removed 10 to 12 days after operation.No other postoperative complications occurred.All of patients were cured and discharged from hospital,and were followed up for 6 months to 3 years.The patients recovered well and no recurrence occurred.Conclusions: The surgery is the preferred treatment for bronchopulmonary cyst,because it can confirm the diagnosis and avoids misdiagnosis.

       

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