肺隔离症的诊断与治疗

Diagnosis and surgical treatment of pulmonary sequestration

目的：探讨肺隔离症的临床特点、病理特征及诊疗方法。方法回顾性分析12例经手术证实为肺隔离症患者的临床资料并复习相关文献。结果2000年1月至2015年1月收治经手术治疗和病理证实的肺隔离症患者12例，病变全部位于下叶基底段，其中左下肺11例，右下肺1例；均为叶内型；术前诊断率为17%；所有患者术后均治愈出院。9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疾病，CTA是肺隔离症诊断的最佳方法，手术治疗效果确切。

objective To investigate the clinical features,pathologic features,diagnosis and treatment of pulmo-nary sequestration. Methods The clinical data of 12 patients With pulmonary sequestration from 2000 to 2015 Were retro-spectively revieWed. Results From 2000 to 2015,12 patients With pulmonary sequestration Were operated and Were patho-logically confirmed. The pulmonary sequestration Was in left loWer lobe in 11 cases and right lobe in 1 case. All cases Were in base segment. TWo of 12 cases got confirmed preoperative diagnosis. All cases Were cured. FolloW-up Was performed in 9 patients,and no long-term complication Was noted. Conclusions Pulmonary sequestration is a rare pulmonary congeni-tal deformity. CTA is most helpful for diagnosis. Surgery can achieve good outcomes.