肺隔离症18例临床分析

Pulmonary sequestration: A report of 18 cases

目的探讨肺隔离症的诊断及治疗方法。方法回顾性分析我院2008年7月-2011年2月收治的18例肺隔离症患者的临床资料。结果叶内型肺隔离症主要临床症状为咳嗽、咳黄痰或痰中带血,部分表现为发热及胸痛;叶外型仅有轻度咳嗽、咳白痰。除2例因体检发现外,其余16例均因反复感染就医后确诊。叶内型16例(88.8%),叶外型1例(5.6%),未分型1例(5.6%);病灶位于左肺下叶11例,右肺下叶7例。影像学检查发现病变异常血供11例(61.1%)。经手术治疗15例(83.3%)。结论肺隔离症主要症状为咳嗽、咳痰,明确病灶异常血供是确诊关键,手术治疗有效。

Objective To study the diagnosis and treatment of pulmonary sequestration.Methods Clinical data about 18 patients with pulmonary sequestration admitted to our hospital from July 2008 to February 2011 were retrospectively analyzed.Results The main clinical symptoms of intra-lobar pulmonary sequestration were cough and expectoration with blood-tinged sputum,fever and chest pain.Of the 18 patients,16（88.8%） were diagnosed as intra-lobar pulmonary sequestration,1（5.6%） was diagnosed as extralobar pulmonary sequestration and 1 case（5.6%） was diagnosed as pulmonary sequestration with its type unclassified.The lesion was located in the left lower lung lobe of 11 patients and in the right lower lung lobe of 7 patients.Radiological examination revealed that the blood supply was abnormal for the lesion in 11 patients（61.1%）.Fifteen patients（83.3%） underwent surgical treatment.Conclusion The main clinical symptoms of pulmonary sequestration are cough and expectoration.Abnormal blood supply for the lesion is the key to its diagnosis and surgical treatment is effective for it.