CAJ | 학술논문

目的探讨创伤性肺假性囊肿(TPP)的诊断及治疗策略.方法回顾性分析15例TPP患者的诊治过程.结果 15例患者均为胸部闭合性损伤.胸部X线片,9例表现为典型的肺内薄壁空洞病灶,可伴或不伴液气平面,6例病灶周围伴有创伤性湿肺的表现.胸部CT扫描能发现所有患者的TPP,其中单发病灶9例,多发病灶6例；病变大小5～75(32±17) mm.TPP位于左肺5例(33％),右肺7例(47％),双肺3例(20％).所有TPP患者采取保守治疗后好转出院.结论 TPP是一种少见的继发于胸部创伤后的良性病变,胸部CT扫描是诊断和评估TPP的最佳影像学检查方法.单纯TPP患者可采取保守治疗,而伴有严重并发症的TPP患者应根据具体情况进行治疗.
목적 탐토창상성폐가성낭종(TPP)적진단급치료책략.방법 회고성분석15례TPP환자적진치과정.결과 15례환자균위흉부폐합성손상.흉부X선편,9례표현위전형적폐내박벽공동병조,가반혹불반액기평면,6례병조주위반유창상성습폐적표현.흉부CT소묘능발현소유환자적TPP,기중단발병조9례,다발병조6례；병변대소5～75(32±17) mm.TPP위우좌폐5례(33％),우폐7례(47％),쌍폐3례(20％).소유TPP환자채취보수치료후호전출원.결론 TPP시일충소견적계발우흉부창상후적량성병변,흉부CT소묘시진단화평고TPP적최가영상학검사방법.단순TPP환자가채취보수치료,이반유엄중병발증적TPP환자응근거구체정황진행치료.
Objective To evaluate the diagnostic and therapeutic strategy of traumatic pulmonary pseudocyst (TPP).Methods Fifteen patients who were diagnosed and treated as TPP between January 2000 and November 2011 were studied retrospectively.Results Nonpenetrating chest trauma was the underlying cause in all cases.A typical sign shown on chest radiograph was a thin-walled cavitary lesion in 9 patients,6 patients accompanied by traumatic wet lung,with or without an air-fluid level.Serial radiological images of CT showed high resolution of the above lesions.Single TPP lesion occurred in 9 patients,and multiple TPP lesions in 6 patients.The size of the lesions was 5 -75 (32 ± 17) mm.The pseudocyst was located in the left lung in 5 patients(33％),located in the right lung in 7 patients (47％),located in bilateral lung in 3 patients (20％).All TPP patients were treated conservatively with no occurrence of complications.Conclusions TPP is an uncommon benign lesion secondary to thoracic trauma.CT scan is an optimal option for diagnosis and evaluation of TPP.Uncomplicated cases can take conservative treatment.For complicated patients,theraneutic strategy should be made individually.