肺隔离症的外科诊疗

Diagnosis and treatment of pulmonary sequestration

目的探讨肺隔离症的外科诊疗方法。方法对1995年7月～2003年8月该科所收治肺隔离症患者共47例进行分析,总结其共性。结果所有肺隔离症患者中,13例术前确诊,19例高度怀疑为肺隔离症,15例误诊为肺脓肿、肺囊肿、支气管扩张、肺癌或纵隔肿瘤,所有患者均于术中确诊,均为叶内型;均采用手术治疗,行下叶切除术,术后均恢复顺利,无手术死亡。结论肺隔离症在临床中较罕见,易出现误诊,应有足够的认识和警惕,一旦确诊,应采用手术行肺叶切除。

Objective: To elucidate the diagnostic methods and curative effects of pulmonary sequestration. Methods: 47 patients that our department received from July 1995 to August 2003 suffered from pulmonary sequestration were analyzed, characteristics were summaried. Results: 13 patients were final diagnosed and 19 patients were suspected preoperativly, 15 patients were misdiagnosed as lung abscess, cyst of lung, bronchiectasis, pulmonary carcinoma or mediastinal tumor before operation, it were diagnosed as interlobar pulmonary sequestration at surgery, lower-lobectomy were performed, success of treatment has been achieved in all. Conclusions: Pulmonary sequestration is seldom seen, and always were misdiagnosed, we should pay more attention to it, once pulmonary sequestration was confirmed, pulmonary lobectomy should be performed.