成人与儿童肺隔离症的比较

Comparison of Adult and Paediatric Pulmonary Sequestration

目的：通过成人和儿科两组肺隔离症病例的比较,探讨肺隔离症这种先天性畸形的疾病特征。方法：回顾分析复旦大学附属中山医院和复旦大学附属儿科医院1992年～2004年18例成人肺隔离症和11例儿童肺隔离症的临床资料。结果：成人组和儿科组在性别的分布、病变的部位、体动脉供血来源上无显著差异。但在叶内/叶外型的分布(成人组17/1,儿童组6/5,P＜0.05)、合并其他先天畸形(成人组0/18,儿童组4/7,P＜0.05)和呼吸道感染为首诊症状情况上(成人组9/9,儿童组10/1,P＜0.05),两组之间有显著差异。结论：成人和儿童肺隔离症具有不同的临床特点,在诊疗中应予以重视。

Objective： To discuss characteristic of pulmonary sequestration with comparison of adult and paediatric groups. Methods：Retrospective analysis of eighteen adult Pulmonary sequestration from Zhongshan hospital Fudan university and eleven paediatric pulmonary sequenstration from Paediatric hospital Fudan university from year 1992 to year 2004. Result： Adult and paediatric group has no significant difference on the distribution of sexuality, location of mass and blood supply. But on the ra tio of intralobar / extralobar pulmonary sequenstration （adult 17/1, paediatric 6/5 P〈0. 05）, combined congenital defects （adult 0/17, paediatric 4/7 P〈0. 05） andprimary symptom （adult 9/9, paediatric 10/0, P〈0.05）, the difference were significant. Conclusion： Adult and paediatric pulmonary sequenstration show different clinic characterstic, we should keep in mind when dealing with the cases.