局解手术学杂志2016，Vol.25Issue(8)：574-576,3.DOI:10.11659/jjssx.05E016036
成人肺隔离症的诊断与外科治疗
Diagnosis and surgical treatment of pulmonary sequestration in adults
摘要
Abstract
Objective To explore the diagnosis and surgical treatment of pulmonary sequestration in adults. Methods Clinical data of 21 cases of pulmonary sequestration whose diagnosis was confirmed by surgical biopsy in our department from March 2009 to February 2016 were retrospectively analyzed. Divided the patients into the thoracotomy group (n=9) and the thoracoscope group (n=12) according to dif-ferent surgical methods, and compared the diagnosis and surgery of the two groups. Results Among the patients, 8 cases were diagnosed as pulmonary sequestration and the remaining 13 cases were misdiagnosed,with the misdiagnosis rate of 61. 9%. Intraoperative exploration dem-onstrated that the abnormal blood vessels were originated from thoracic aorta (n=14,66. 7%),abdominal aorta (n=4,19%),phrenic artery (n=3,14. 3%) and aortic arch (n=1,4. 8%), and there were 20 cases (95. 2%) of intralobar sequestration and 1 case (4. 8%) of ex-tralobar sequestration. Patients underwent thoracotomy and patients underwent video-assisted thoracoscopic surgery were of no significant differences in operative time (P=0. 104),blood loss (P=0. 209),chest tube duration (P=0. 511),drainage volume (P=0. 135) and postoperative hospital stay (P=0. 450). All the patients recovered well after surgery. Conclusion As pulmonary sequestration lacks specific clinical manifestations,missed diagnosis and misdiagnosis are very common in patients. Chest enhanced CT and CT angiography are effective diagnostic methods at present. Both thoracotomy and VATS can achieve good therapeutic effects.关键词
肺隔离症/电视胸腔镜手术/开胸手术/诊断/治疗Key words
pulmonary sequestration/video-assisted thoracoscopic surgery/thoracotomy/diagnosis/treatment分类
医药卫生引用本文复制引用
蒋彬,孙天宇,张灵敏,邓波,郭伟,王如文,谭群友..成人肺隔离症的诊断与外科治疗[J].局解手术学杂志,2016,25(8):574-576,3.基金项目
国家自然科学基金(81172239) （81172239）
军队临床高新技术重点项目(2010gxjs063) （2010gxjs063）
