CAJ | 학술논문

目的探讨叶内型肺隔离症的临床特点、诊断和治疗方法.方法回顾性分析1985年3月至2012年11月收治的22例经手术证实为叶内型肺隔离症患者的临床资料并复习相关文献.结果 22例患者中病变位于左下肺16例,右下肺6例,病变全部位于下叶基底段；21例患者行肺叶切除术,1例患者行肺叶局部切除术.22例患者术后均痊愈出院,6例患者经随访,生存良好,无复发.结论叶内型肺隔离症主要诊断方法是CT血管造影,手术治疗叶内型肺隔离症效果确切.
목적 탐토협내형폐격리증적림상특점、진단화치료방법.방법 회고성분석1985년3월지2012년11월수치적22례경수술증실위협내형폐격리증환자적림상자료병복습상관문헌.결과 22례환자중병변위우좌하폐16례,우하폐6례,병변전부위우하협기저단；21례환자행폐협절제술,1례환자행폐협국부절제술.22례환자술후균전유출원,6례환자경수방,생존량호,무복발.결론 협내형폐격리증주요진단방법시CT혈관조영,수술치료협내형폐격리증효과학절.
Objective To explore the clinical features,diagnosis and treatment of intralobar pulmonary sequestration.Methods The clinical data of twenty-two patients with intralobar pulmonary sequestration from 1985 to 2012 were reviewed.Results Totally 22 patients with intralobar pulmonary sequestration were operated and were pathologically confirmed.The pulmonary sequestration was in left lower lobe in 16 cases and right lower lobe in 6 cases.All cases were in base segment.Twenty-one cases received lobectomy and one case received exision of segment.All cases were cured.Follow-up was performed in 6 patients and no long-term complication was noted.Conclusions CT angiography is sufficiently suggestive of diagnosis of intralobar pulmonary sequestration.Resection of the lung leads to excellent results.