CAJ | 학술논문

目的：肺隔离征是一种先天性肺发育畸形，该病发病率低、误诊率较高。文中结合肺隔离征患者临床资料，对该病的诊断与治疗进行总结分析。方法回顾性分析南京军区南京总医院心胸外科2009年9月至2014年9月收治的18例肺隔离征患者临床资料，其中男8例、女10例，年龄20～68岁，平均（42．37±14．63）岁。所有患者均行影像学检查，主要表现为肿块影（n＝11）及囊性改变（n＝7）；均采取双腔气管内插管静脉复合麻醉，并行手术切除。结果17例叶内型行病变肺叶切除术，另1例叶外型行肺局部隔离病变切除术。明确诊断14例、误诊3例、漏诊1例。18例患者经手术治疗全部康复出院，随访8～18个月，无失访。患者生存良好，未出现与手术相关的并发症。结论肺隔离征临床表现缺乏特异性，分类诊断相对困难，手术治疗为主，术后预后良好。
목적：폐격리정시일충선천성폐발육기형，해병발병솔저、오진솔교고。문중결합폐격리정환자림상자료，대해병적진단여치료진행총결분석。방법회고성분석남경군구남경총의원심흉외과2009년9월지2014년9월수치적18례폐격리정환자림상자료，기중남8례、녀10례，년령20～68세，평균（42．37±14．63）세。소유환자균행영상학검사，주요표현위종괴영（n＝11）급낭성개변（n＝7）；균채취쌍강기관내삽관정맥복합마취，병행수술절제。결과17례협내형행병변폐협절제술，령1례협외형행폐국부격리병변절제술。명학진단14례、오진3례、루진1례。18례환자경수술치료전부강복출원，수방8～18개월，무실방。환자생존량호，미출현여수술상관적병발증。결론폐격리정림상표현결핍특이성，분류진단상대곤난，수술치료위주，술후예후량호。
[Abstract ] Objective Pulmonary sequestration (PS) is a congenital development malformation of the lungs .This study aimed to explore the diagnosis and surgical treatment of PS . Methods We retrospectively analyzed the clinical data on 18 PS pa-tients (8 males and 10 females, aged 20-68 [42.34 ±14.63] years) treated in our department from September 2009 to September 2014.Medical imaging manifested tumors in 11 cases and cystic lesion in the other 7.All the patients underwent surgical resection . Results The diseased pulmonary lobes were removed for the 17 cases of the intralobar type and local resection was performed for the 1 case of the extralobar type .Fourteen of the cases were confirmed to be PS , 3 misdiagnosed, and 1 case missed at diagnosis .The pa-tients were followed up for 8-18 months after treatment , all recovered without surgery-related complications . Conclusion Pulmona-ry sequestration is a rare congenital malformation of the lungs and the lack of specific clinical manifestations makes it easy to be misdi -agnosed.Surgery is the main strategy for its treatment .