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肺隔离症的诊治分析

Diagnosis and treatment of pulmonary sequestration
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摘要 目的:探讨肺隔离症(PS)的诊断及外科治疗方法。方法:回顾性分析10例手术后病理证实为PS患者的临床资料并复习相关文献。结果:1987年-2008年共治疗10例PS。其中叶内型8例(80%),叶外型2例(20%).叶内型以咳嗽、脓痰、咯血、胸痛等呼吸道症状为主,叶外型多无症状。术前拟诊4例(40%),主要诊断手段为胸片、CT、选择性动脉造影。本组均为肺叶切除.无手术死亡及并发症发生。结论:PS发病率低,诊断方法主要为X线、CT、MRI检查.手术为最终治疗方法。 Objective:To explore the cause.diagnosis and treatment of pulmonary sequestration. Methods:Ten cases analyzed and literatures reviewed. Results : Between 1987 and 2008,8 cases (80%) were intralobar type, 2 cases (20%)were extralobar type. Most of the 8 cases accompanied with respiratory inpections,the 2 cases had no symptoms. 4 cases(40G )were confirmed before operation by X-ray,CT,MRI and angiography. Lobectomy was performed in every case, no post-operative morbidity happened. Conclusion:Despite its rarity, X-ray, CT, MRI are sufficiently suggestive of diagnosis of pulmonary sequestration. Resection of the lung leads to excellent resules and the long-term outcome is highly favorable.
出处 《临床医药实践》 2009年第6期427-428,共2页 Proceeding of Clinical Medicine
关键词 支气管肺隔离症 诊断 治疗 bronchopulmonary sequestration diagnosis treatment
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参考文献4

  • 1Avic B,Birtel F J,Tholen W,et al. Lung sequestration: report of seven cases and review of 540 published cases[J]. Thorax, 1999,34 : 96-101. 被引量:1
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  • 3德魁.肺隔离症[M]//顾凯时.顾凯时胸心外科手术学.上海:上海科学技术出版社.2003:772-774. 被引量:2
  • 4Gustafson R A,Marray E F,Warden H,et al. Intracobar sequestration : amisseddiagnosis[J].Ann Thorac Surg,1989,47(6)13:841. 被引量:1

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