腹腔干来源的右侧肺隔离症1例并文献复习

Right Lower Lobe Pulmonary Sequestration with Feeding Artery Originating from the Celiac Trunk:A Case Report and Literature Review

目的:提高对肺隔离症(pulmonary sequestration,PS)的临床特点及诊疗手段的认识,减少临床误诊漏诊。方法:对我科确诊的1例肺隔离症患者的临床资料进行回顾性分析,并进行文献复习。结果:肺隔离症大多数缺乏特征性临床表现,常表现为咳嗽、咳痰、胸痛、咯血等。本患者经螺旋CT平扫+增强确诊,成功进行手术治疗,术后病理证实。结论:肺隔离症极易误诊,诊断方法为螺旋CT平扫+增强及三维重建、数字减影动脉造影术(DSA)。螺旋CT增强扫描可显示异常供血动脉,是诊断肺隔离症的首选检查方法。手术是本病最佳治疗方式。

Objective:To improve the diagnosis level of pulmonary sequestration(PS)in order to reduce misdiagnosis and missed diagnosis rates.Methods:One case of pulmonary sequestration patient was retrospectively analyzed and the correlative literatures were reviewed.Results:Most of pulmonary sequestration lacks characteristic of clinical manifestations,mostly manifested in repeated cough,sputum,chestpain,hemoptysis.The patient was confirmed by spiral CT plain scan+enhancement,and was successfully treated by surgery,which was confirmed by postoperative pathology.Conclusion:Because of the non-specific clinical manifestations of pulmonary sequestration,the disease tends to easily be misdiagnosed.The diagnosis methods were spiral CT plain scan+enhancement and three-dimensional reconstruction,digital subtraction and arteriography(DSA).Enhanced spiral CT can detect anomalous systemic artery,which should be the first choice in diagnose of pulmonary sequestration,and the surgical operation is the best treatment for the disease.