小儿肺隔离症20例临床分析

Clinical analyses of pulmonary sequestration in children:a report of 20 cases with a review of correlative literature

目的提高对小儿肺隔离症临床特点的认识。方法对本院2008年3月至2014年10月收治的20例小儿肺隔离症病例进行回顾性分析,总结其临床特征,并对其诊断和治疗方法进行探讨。结果小儿肺隔离症由于合并病变的影响,术前确诊率并不高。对所有病例行隔离肺切除或病变所在肺段切除,术后恢复良好,无手术死亡及并发症发生。结论小儿肺隔离症术前极易误诊,一旦确诊,手术切除病变肺组织,同时矫正伴发畸形是治疗小儿肺隔离症的最佳选择。

Objetive To enhance the awareness of pulmonary sequestration. Methods Twenty cases of pulmonary sequestration in children between March 2008 and October 2014 were analyzed retrospectively. And their clinical characteristics,diagnosis and treatment were analyzed. Results Pulmonary sequestration in children was not easily diagnosed because of complications with other congenital malformations.Segmentomy to intralobar pulmonary sequestration and sequestrectomy to extralobar pulmonary sequestration were generally ef-fective without operative complication or death. Conclusions Pulmonary sequestration in children are easily misdiagnosed prior to operation.Once definitely diagnosed,optimal choice is a removal of sequestration.