肺隔离症15例临床诊断外科治疗分析

Analysis of clinical diagnosis and surgical treatment of 15 cases 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:收治肺隔离症患者15例,回顾性分析其临床资料。结果:病变全部位于下叶基底段,其中左下肺10例,右下肺5例;叶内型13例,叶外型2例;术前诊断率47%;所有患者术后均治愈出院。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 sequestration.Methods:15patients with pulmonary sequestration were selected,and the clinical data were retrospectively analyzed.Results:All lesions were located in the basal segment of the lower lobe,10cases in the left lower lung,5cases in the right lower lung.13cases were intralobar sequestration,and2cases were extralobar sequestration.The preoperative diagnosis rate was47%.All patients were cured and discharged.Conclusion:Pulmonary sequestration was a rare congenital malformation of the lung,angiography was the best method for the diagnosis of pulmonary sequestration,and the effect of surgical treatment was exact.