肺隔离症10例诊治分析

Diagnosis and treatment of pulmonary sequestration:Analysis of 10 cases

目的:探讨肺隔离症的诊断与手术治疗。方法:回顾性分析10例肺隔离症患者的临床诊治资料。结果:10例术前均误诊,术中探查而明确诊断;术中无大出血等严重并发症,手术治疗后均痊愈。结论:提高对本病的认识,术中探查发现下胸腔粘连闭锁、隔离肺组织粉红色(无黑斑)、下肺韧带处触及异常搏动血管,是正确诊断和治疗肺隔离症的关键。

Objective ：To explore the diagnosis and surgical treatment of pulmonary sequestration. Methods：The clinical data of 10 cases of pulmonary sequestration were retrospectively studied. Results：The preoperative misdiagnosis was 100% and all the 10 cases were identified by exploration in operation. No hemorrhage or other complications occurred and all the cases were discharged after full recovery. Conclusions：Cognition to pulmonary sequestration should be elevated. The exploration operation shows that the features of pulmonary sequestration are adhesion and clausura of pectus, pink lung tissues with no locus niger and abnormal impulse of vasa which can be touched near the ligament of lower lobe. Correct diagnosis is key to the treatment of pulmonary sequestration.