论文部分内容阅读
目的总结小儿肺隔离症的临床特点及诊治经验。方法回顾性分析2003年3月-2008年5月在本院经影像学检查和(或)手术确诊为肺隔离症的19例患儿临床资料。19例中男13例,女6例。1例为新生儿。17例患儿进行手术治疗,叶内型手术方法为病变肺叶切除术,叶外型为单纯隔离肺叶切除。患儿术前均摄X线胸片,并行胸部CT扫描检查。结果 17例患儿行手术治疗,平均年龄5.2岁。影像学检查及增强CT扫描加血管重建检查显示异常体循环供血血管。手术证实叶内型13例,叶外型4例,均为单侧病变。除1例合并多发畸形术后死亡,其余手术病例均痊愈出院。2例未经手术治疗自动出院。随访显示所有病例恢复良好。结论小儿肺隔离症临床表现无特异性,影像学是诊断肺隔离症的有效手段,其中增强CT扫描三维重建血管成像对诊断具有重要的临床价值。手术治疗可防止发生反复肺部感染和大咯血,并可取得良好的效果。
Objective To summarize the clinical features and diagnosis and treatment of pediatric pulmonary sequestration. Methods The clinical data of 19 children with pulmonary sequestration confirmed by imaging examination and / or surgery from March 2003 to May 2008 were retrospectively analyzed. There were 13 males and 6 females in 19 cases. 1 case of newborn. 17 cases of children undergoing surgical treatment of lobectomy for the lesion lobectomy, lobectomy for the simple isolation of lobectomy. Preoperative children were taken before X-ray, parallel chest CT scan. Results 17 cases of children underwent surgery, with an average age of 5.2 years. Radiographic examination and enhanced CT scan plus revascularization showed abnormal circulation of blood vessels. Thirteen cases of intra-leaf type and four cases of leaf shape were confirmed by surgery, all of which were unilateral lesions. In addition to 1 case of multiple malformations died, the rest of the surgical cases were cured and discharged. Two patients were discharged without surgery. Follow-up showed that all cases recovered well. Conclusion The clinical manifestations of pulmonary sequestration in children are nonspecific. Imaging diagnosis is an effective method to diagnose pulmonary sequestration. Enhanced three-dimensional reconstruction of CT angiography has important clinical value in diagnosis. Surgery to prevent recurrent lung infections and hemoptysis, and can achieve good results.