临床小儿外科杂志Issue(4)：294-297,4.DOI:10.3969/j.issn.1671-6353.2014.04.009
儿童先天性肺囊性疾病69例诊疗分析
The diagnosis and surgical treatment of congenital cystic lung disease in children
阳广贤 1刘剑 1邓喜成 1陈仁伟 1王敬华 1刘平波1
作者信息
- 1. 湖南省儿童医院心胸外科 湖南省长沙市，410007
- 折叠
摘要
Abstract
Objetive To sum up the experience of diagnosis and surgical management for congenital cystic lung disease in children, and to explore the timing and operational modus for these diseases. Methods A retrospective analysis was done on the clinical data of 69 cases with congenital cystic lung disease and received surgical treatment in our hospital from July 2004 to July 201 3,including 39 males and 30 females with mean age (1 .2 ±0.6)years old (They ranged in age from two days to 1 5 years.)Among the 69 cases, 48 suffered from lung cyst (40 underwent lobectomy and 8 excision of the cyst),1 5 congenital lobar emphyse-ma (all underwent lobectomy)and 6 congenital pulmonary adenomatoid malformation (all underwent seques-trectomy).All patients received a biopsy. Results there were no operation deaths,all the patients discharge from the hospital successfully.Early postoperative complications included 5 cases with pneumothorax and 4 ca-ses with pleural effusion and 1 case with chylothorax and 4 cases with pneumonia.All cases recovered well dur-ing follow-up between 2 months and 9 years. Conclusion Congenital cystic lung disease in children has di-verse clinical manifestations,including acute respiratory distress and compression symptoms which occur very often.Early diagnosis and prompt management are required,and surgical resection,commonly lobectomy,is the main treatment for this lesion.Urgent or emergent operation is needed in symptomatic patients with acute respir-atory distress.关键词
囊腺瘤样畸形,肺,先天性/肺疾病/治疗/儿童Key words
Cystic Adenomatoid Malformation of Lung,Congenital/Lung Diseases/Therapy/Child引用本文复制引用
阳广贤,刘剑,邓喜成,陈仁伟,王敬华,刘平波..儿童先天性肺囊性疾病69例诊疗分析[J].临床小儿外科杂志,2014,(4):294-297,4.
