川北医学院学报2016，Vol.31Issue(4)：560-562,569,4.DOI:10.3969/j.issn.1005-3697.2016.04.030
13例肺隔离症诊断与治疗的临床总结
Clinical summary of the diagnosis and treatment of 13 cases of pulmonary sequestration
鲁勇国 1万志渝 1李晓明 1殷君太 1周小伟 1牟海德1
作者信息
- 1. 广元市中心医院胸心外科，四川 广元 628000
- 折叠
摘要
Abstract
Objective:To summarize the experience of the diagnosis and treatment after an analysis of 13 cases of pulmonary se-questration (PS)patients.Methods:From January 2010 to November 2015,a total of 13 cases of hospitalized patients were diagnosed as PS.Their clinical manifestations,imaging features,treatments and follow-up results were analyzed retrospectively and then related lit-eratures were reviewed.The experience of the diagnosis and treatment were summarized.Results:(1 )Clinical manifestations:1 1 pa-tients manifested as recurrent mere cough and expectoration,1 patient was added with symptom of asthma,1 patient was found with extra manifestation of hemoptysis.The course of disease ranged from 3 months to 12 years;(2)Imaging features:The pathological positions of all patients belonged to intralobular type and was located in the lower lobe of the lung.Among them,10 cases located in the lower lobe of the left lung,3 cases located in lower lobe of right lung.All patients underwent chest X-ray examination and chest CT plain scan fol-lowed by enhanced scan.The chest X-ray examination showed rounded shadow,elliptic shadow,lobulated shadow,or triangular shadow in the lung.The chest CT examination showed:rounded shadow like soft tissue or cystic fluid could be found.A sum of 2 patients under-going spiral CT pulmonary angiography (SCTPA)indicated that the blood supply was all derived from the descending aorta.(3 )All patients were successfully treated with thoracoscopic lobectomy.During a follow-up duration of 6 months to 2 years,1 case of patients was lost,and the other 12 cases had no recurrence.Conclusion:As for PS,lower incidence,nonspecific clinical manifestations and low awareness of clinicians were found as important factors which could make the diagnosis rather difficult.Chest CT enhanced scan should be a routine diagnostic method,and SCTPA would be used for ultimate diagnosis.Once diagnosed,PS should be treated with thoraco-scopic lobectomy.关键词
肺隔离症/诊断/治疗/总结Key words
Pulmonary sequestration/Diagnosis/Treatment/Summary分类
医药卫生引用本文复制引用
鲁勇国,万志渝,李晓明,殷君太,周小伟,牟海德..13例肺隔离症诊断与治疗的临床总结[J].川北医学院学报,2016,31(4):560-562,569,4.
