临床小儿外科杂志2016，Vol.15Issue(2)：117-120,4.DOI:10.3969/j.issn.1671-6353.2016.02.005
胸腔镜下婴幼儿隔离肺的处理分析
An Analysis on Thoracoscopic Operation for Congenital Bronchopulmonary Sequestrations
摘要
Abstract
Objetive To research and discuss the feasibility and risk of bronchopulmonary sequestra-tions under thoracoscopic operation.Methods Retrospe -ctively reviewed our experience with bronchopulmo-nary sequestrations from 2014.3 to 2015.4.All 68cases were diagnosed by prenatal ultrasound and postnatal contrast -enhanced CT,including Intralobar,extralobar and intradiaphragmatic extralobar pulmonary sequestra-tion.To research and discuss the feasibility and risk under thoracoscopic operation.Results All 80 cases (18-30 w)of fetal chest solid or high echo mass were diagnosed antenatally by ultrasound,been confirmed by later ultrasound examination.5 cases associated with fetal hydrops for abortion.The other 75 cases borned ,with a-symptomatic in 64 cases(85%).Enhanced CT was used to confirm the diagnosis in 68 cases ,and all choosen to operation(Average 4.2 Months).In typing,30 cases of intralobar,extralobar in 38 cases.In extralobar cases, 9 cases within the diaphragm and 1 cases in enterocoelia,28 cases in thorax.operation methods:2 cases by tho-racoscope and 28 cases by video -assisted thoracic surgery in intralobar type;6 cases by thoracoscope and 3 cases by video -assisted thoracic surgery in intradiaphragmatic extralobar type;1 case in enterocoelia by tradi-tional laparotomy;all 28 extralobar cases in thorax by thoracoscope.All patients were cured.All 68 patients been follow -up from 1 month to 1 year,CT examination and lung function examination showed well. Conclu-sions Bronchopulmonary sequestration is relatively uncommon in infants.Due to the risk in infection and com-pressing symptom of surrounding tissue,we suggested to operate early.The thoracoscopic approach is recommen-ded.关键词
囊腺瘤样畸形,隔离症,肺,先天性/胸腔镜/治疗/婴儿Key words
Cystic Adenomatoid Malformation of Lung,Congenital/Thoracoscopes/Therapy/Infant引用本文复制引用
洪淳,俞钢,余攀,唐晶,夏波,刘翠芬..胸腔镜下婴幼儿隔离肺的处理分析[J].临床小儿外科杂志,2016,15(2):117-120,4.基金项目
广东省医学科学技术研究项目，项目号A2015549 （）
