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肺移植术在肺淋巴管肌瘤病中的应用进展OA北大核心

Progress in the application of lung transplantation in pulmonary lymphangioleiomyomatosis

中文摘要英文摘要

肺淋巴管肌瘤病是一种以肺部淋巴管平滑肌细胞异常增殖为主要特征的罕见疾病,常见于女性,常伴随有反复发作的气胸、乳糜胸及进行性呼吸困难,影像学特征为两肺弥漫性囊性病变.肺淋巴管肌瘤病呈恶性进展,预后极差,晚期缺少有效的内科治疗手段.肺移植是治疗晚期肺淋巴管肌瘤病安全而有效的手段,能够显著改善患者生存率及生存质量,患者术后中位生存期可达 12年.本文就肺淋巴管肌瘤病的发病机制、诊断、治疗以及肺移植术在肺淋巴管肌瘤病中的应用现状及现存问题进行综述,以期为临床肺淋巴管肌瘤病的治疗及后续研究提供参考.

Pulmonary lymphangioleiomyomatosis is a rare disease characterized by the abnormal proliferation of pulmonary lymphatic smooth muscle cells.It is common in women and often accompanied by recurrent pneumothorax,chylothorax and progressive dyspnea,imaging characterized by diffuse cystic lesions in both lungs.Pulmonary lymphangioleiomyomatosis progresses aggressively and has a very poor prognosis,with a lack of effective medical treatment options in the advanced stages.Lung transplantation is a safe and effective method for the treatment of advanced pulmonary lymphangioleiomyomatosis,which may significantly improve the survival rate and quality of life of patients.The median survival period after surgery can reach 12 years.This article reviews the pathogenesis,diagnosis,treatment of pulmonary lymphangioleiomyomatosis,and the current status and existing problems of lung transplantation in pulmonary lymphangioleiomyomatosis,aiming to provide a reference for the clinical treatment and subsequent research of pulmonary lymphangioleiomyomatosis.

黄晗洲;成永奇;周家吉;陆荣国;刘峰;郑明峰

214023 江苏无锡,南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院胸外科214023 江苏无锡,南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院胸外科214023 江苏无锡,南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院胸外科214023 江苏无锡,南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院胸外科214023 江苏无锡,南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院胸外科214023 江苏无锡,南京医科大学无锡医学中心无锡市人民医院南京医科大学附属无锡人民医院胸外科

临床医学

肺淋巴管肌瘤病肺移植哺乳动物雷帕霉素靶蛋白抑制剂气胸乳糜胸呼吸困难结节性硬化症体外膜肺氧合

Pulmonary lymphangioleiomyomatosisLung transplantationMammalian target of rapamycin inhibitorPneumothoraxChylothoraxDyspneaTuberous sclerosisExtracorporeal membrane oxygenation

《器官移植》 2025 (2)

309-314,6

江苏省科技计划重点研发项目(BE2022697)无锡市太湖人才计划国际国内顶尖医学专家团队(2019-THRCTD-1)南京医科大学无锡医学中心专病队列和临床研究项目(WMCC202301)

10.12464/j.issn.1674-7445.2024275

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