肺隔离症的外科诊治分析

Diagnosis and surgical treatment of pulmonary sequestration

目的探讨肺隔离症的分类、诊断、临床特点和外科治疗。方法回顾性分析19例经手术证实为肺隔离症患者的I临床资料并复习相关文献。结果1985年至2011年收治经手术治疗和病理证实的肺隔离症患者19例，男13例，女6例；年龄9～48岁；病史1个月～30年；病变全部位于下叶基底段其中左下肺15例，右下肺4例；叶内型17例，叶外型2例；术前诊断率47％；所有患者术后均治愈出院。7例经随访，生存良好，无复发。结论肺隔离症是一种少见的肺部先天性畸形，血管造影术是肺隔离症诊断的最佳方法，手术治疗效果确切。

Objective To explore the classification,diagnosis, clinical features and surgical treatment of pulmonary se- questration. Methods The clinical data of 23 patients with pulmonary sequestration from 1985 to 2011 were retrospectively re- viewed. Results From 1985 to 2011,23 patients with pulmonary sequestration were operated and were patholog ically con- firmed. There were 15 males and 8 females aged 9 -48 years. Their disease course ranged from 1 month to 30 years. The pul- monary sequestration was in left lower lobe in 17 cases and right lower lobe in 6 cases. All cases were in base segment. 21 ca- ses suffered from intralobar sequestration and 2 cases suffered from extralobar sequestration. Twelve of 23 cases got confirmed preoperative diagnosis, All cases were cured. Follow-up was performed in 7 patients, and no long-term complication was noted. Conclusion Pulmonary sequestration is rare pulmonary congenitaldeformity. CTA is the most helpful for diagnosis. Surgery can achieve good outcomes.