18例肺隔离征患者影像学诊断及手术治疗分析

发布时间：2018-05-18 01:42

本文选题：肺隔离症 + 诊断　；参考：《医学研究生学报》2015年05期

【摘要】：目的肺隔离征是一种先天性肺发育畸形,该病发病率低、误诊率较高。文中结合肺隔离征患者临床资料,对该病的诊断与治疗进行总结分析。方法回顾性分析南京军区南京总医院心胸外科2009年9月至2014年9月收治的18例肺隔离征患者临床资料,其中男8例、女10例,年龄20~68岁,平均(42.37±14.63)岁。所有患者均行影像学检查,主要表现为肿块影(n=11)及囊性改变(n=7);均采取双腔气管内插管静脉复合麻醉,并行手术切除。结果 17例叶内型行病变肺叶切除术,另1例叶外型行肺局部隔离病变切除术。明确诊断14例、误诊3例、漏诊1例。18例患者经手术治疗全部康复出院,随访8~18个月,无失访。患者生存良好,未出现与手术相关的并发症。结论肺隔离征临床表现缺乏特异性,分类诊断相对困难,手术治疗为主,术后预后良好。
[Abstract]:Objective Pulmonary sequestration is a congenital deformity of lung, with low incidence and high misdiagnosis rate. The diagnosis and treatment of pulmonary sequestration syndrome were summarized and analyzed. Methods the clinical data of 18 patients with pulmonary sequestration from September 2009 to September 2014 in the Department of Cardiothoracic surgery, Nanjing General Hospital of Nanjing military region were retrospectively analyzed, including 8 males and 10 females, aged 20 to 68 years, with an average of 42.37 卤14.63 years old. All the patients underwent imaging examination, the main manifestations of which were mass shadow 11) and cystic change. All patients were treated with double-lumen endotracheal intubation combined with intravenous anesthesia and surgical resection. Results 17 cases of intra-lobar type underwent pulmonary lobectomy and 1 case of extralobar type underwent partial pulmonary sequestration. 14 cases were definitely diagnosed, 3 cases were misdiagnosed, and 1 case was missed. 18 cases were all recovered and discharged after operation. The follow-up was 8 ~ 18 months. The patient survived well and had no surgical complications. Conclusion the clinical manifestations of pulmonary sequestration are lack of specificity, classification diagnosis is relatively difficult, surgical treatment is the main, and the postoperative prognosis is good.
【作者单位】：南方医科大学金陵医院(南京军区南京总医院)心胸外科;
【基金】：国家自然科学基金(81172032)
【分类号】：R655.3

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