CAJ | 학술논문

目的探讨肺隔离症的临床特点及外科治疗方法.方法回顾性分析1998年6月至2008年7月北京大学第一医院胸外科收治的35例经手术、病理证实肺隔离症患者的临床资料.结果 35例肺隔离症患者中叶内型29例,叶外型6例,全部29例叶内型肺隔离症患者均有症状,主要症状为反复咳嗽,咳脓痰,低热及咯血,而6例叶外型者无任何症状.术前确诊23例,主要诊断手段为胸部增强CT扫描,CT血管造影(CTA)及选择性动脉造影.本组所有病例均行手术治疗,术后恢复顺利,无手术死亡.结论肺隔离症临床表现无特异性,选择性动脉造影对本病的确诊有决定性意义,但为有创检查.CT增强扫描,CTA等非侵袭性血管成像技术已成为选择性动脉造影的重要手段.手术是肺隔离症的最佳治疗方案.
목적 탐토폐격리증적림상특점급외과치료방법.방법 회고성분석1998년6월지2008년7월북경대학제일의원흉외과수치적35례경수술、병리증실폐격리증환자적림상자료.결과 35례폐격리증환자중협내형29례,협외형6례,전부29례협내형폐격리증환자균유증상,주요증상위반복해수,해농담,저열급각혈,이6례협외형자무임하증상.술전학진23례,주요진단수단위흉부증강CT소묘,CT혈관조영(CTA)급선택성동맥조영.본조소유병례균행수술치료,술후회복순리,무수술사망.결론 폐격리증림상표현무특이성,선택성동맥조영대본병적학진유결정성의의,단위유창검사.CT증강소묘,CTA등비침습성혈관성상기술이성위선택성동맥조영적중요수단.수술시폐격리증적최가치료방안.
Objective To explore the clinical manifestations and treatment of pulmonary sequestration. Methods Thirty-five patients with pulmonary sequestration confirmed by pathological studies were analyzed. Results Among these patients, 29 were of intralobar type and 6 of extralobar type. All patients of intralobar type had symptoms of cough, expectoration, fever and hemoptysis while 6 cases of extralobar type were asymptomatic. Twenty-three cases were diagnosed preoperatively by enhanced CT scan,CT angiography or selective arteriography. Success of operation had been achieved in all cases. Conclusion The clinical manifestations of pulmonary sequestration are non-specific. Though invasive, selective arteriography plays a decisive role in the diagnosis. Such non-invasive angiographies as enhanced CT scan and CT angiography have become important supplements to it. Once the diagnosis is confirmed, operation should be performed.