CAJ | 학술논문

目的探讨肺隔离症的诊断和外科治疗方法,提高对本病的认识.方法回顾性分析27例肺隔离症患者的临床资料,其中男15例,女12例；年龄4～56岁.术前分别行胸部X线片、CT、CT血管造影术(CTA)和磁共振成像(MRI)等检查；17例经增强CT和64排螺旋CT检查术前确诊.叶外型肺隔离症行隔离肺切除术,叶内型肺隔离症行肺叶切除术；共行左肺下叶切除术21例,右肺下叶切除术5例,右隔离肺切除术1例.结果 27例患者术后恢复良好,无围手术期死亡,无并发症发生,均痊愈出院,出院后随访均未复发.结论肺隔离症诊断主要依赖于胸部X线片、CT、MRI、CTA,一经确诊或拟诊,手术治疗效果良好.
목적 탐토폐격리증적진단화외과치료방법,제고대본병적인식.방법 회고성분석27례폐격리증환자적림상자료,기중남15례,녀12례；년령4～56세.술전분별행흉부X선편、CT、CT혈관조영술(CTA)화자공진성상(MRI)등검사；17례경증강CT화64배라선CT검사술전학진.협외형폐격리증행격리폐절제술,협내형폐격리증행폐협절제술；공행좌폐하협절제술21례,우폐하협절제술5례,우격리폐절제술1례.결과 27례환자술후회복량호,무위수술기사망,무병발증발생,균전유출원,출원후수방균미복발.결론폐격리증진단주요의뢰우흉부X선편、CT、MRI、CTA,일경학진혹의진,수술치료효과량호.
Objective To promote comprehension of pulmonary sequestration by investigating the diagnosis and surgical treatment methods of this disease.Methods A retrospective analysis of the clinical records of 27 patients with pulmonary sequestration was made,15 male patients and 12 female patients,with the age ranging from 4 to 56 years old.The patients were examined by chest radiography,computerized tomography (CT),computerized tomography angiography (CTA),magnetic resonance imaging (MRI) before the surgery.Eleven patients were confirmed preoperatively as pulmonary sequestration by the contrast enhanced CT and 64slice spiral CT examinations.Sequestrectomy was performed on patients with extralobar sequest ration (ELS) and lobectomy was performed on patients with intralobar sequestration (ILS).There were 21 cases of left lower lobectomy,5 cases of right lowerlobectomy,and 1 case of right sequestrectomy.Results All recovered uneventfully.No significant complications occurred in the perioperative period.All patients were cured and discharged from hospital.No relapse was reported during follow up period.Conclusion Diagnosis mainly depended on the chest radiography,CT,MRI and CTA.Surgical operation should be the best choice of treatment.