摘要
目的总结小儿先天性肺气道畸形的诊断及治疗。方法回顾分析2014年6月至2017年6月收治的68例先天性肺气道畸形患儿临床资料。男39例，女29例；年龄2个月～13岁，平均（1．1±0．5）岁；7例行肺囊肿切除术，3例行肺段切除术，1例行肺舌叶切除术，余57例均行肺叶切除术。结果68例患儿均治愈出院，无死亡。术后近期并发症包括切口皮下气肿5例，胸腔积液2例，气胸2例。随访3个月至1年，均恢复良好。结论小儿先天性肺气道畸形诊断主要依靠影像学检查，因其易反复感染且不能排除恶变可能，应早诊断早治疗，手术切除病变是治疗的唯一方法。
Objective To summarize the diagnosis and treatment of congenital puhnonary airway malformation in chil- dren. Methods The clinical data of 68 children with congenital pulmonary airway malformations from June 2014 to June 2017 were analyzed retrospectively, including 39 males and 29 females with mean age （ 1.1 ± 0.5 ） years old （ from 2 months 12 days to 15 years）, 7 cases of pulmonary cyst resection in 68 cases, 3 cases with lung segment resection, 1 cases with lingulectomy, 57 cases with lohectomy. Results 68 eases were cured and discharged without death. Postoperative short-term complications included subcutaneous emphysema in 5 cases, pleural effusion in 2 cases, pneumothorax in 2 cases. All cases were followed up well between 3 months and 1 year. Conclusion The diagnosis of congenital pulmonary airway malformation in children mainly depends on imaging examination. Because it is easy to repeat infection, and can not rule out malignant transformation, early di- agnosis and early treatment should be done. Surgical resection is the only way to treat the disease.
作者
商子寅
段贤伦
章鹏
钟稳稳
祝宝丰
孙迪文
Shang Ziyin; Duan Xianlun; Zhang Peng; Zhong Wenwen; Zhu Baofeng; Sun Diwen(Department of Thoracic Surgery, Anhui Province Children＇s Hospital, Hefei 230051, China)
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2018年第10期606-608,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
先天性肺气道畸形
治疗
儿童
Congenital pulmonary airway malformation
Therapy
Child
