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目的探讨提高成年人肺隔离症确诊率、减少误诊误治的有效方法。方法回顾分析20例成年人肺隔离症的病历资料。结果术前诊断7例考虑到肺隔离症,误诊率为65.0%,所有病例于术中发现隔离肺异常血管,术后病理结果均符合PS。结论筛选疑似病例可以提高肺隔离症的确诊率,螺旋CT血管成像应作为诊断肺隔离症的首选检查;外科手术是治疗肺隔离症的主要方法,术中应妥善处理异常动脉。
Objective To explore an effective way to increase the diagnosis rate of pulmonary sequestration in adults and reduce the misdiagnosis and mistreatment. Methods Retrospective analysis of medical records of 20 adults with pulmonary sequestration. Results Preoperative diagnosis of pulmonary sequestration occurred in 7 of 7 cases. The misdiagnosis rate was 65.0%. All the cases were found to have abnormal blood vessels in the operation during the operation. The postoperative pathological findings were consistent with PS. Conclusion The screening of suspected cases can improve the diagnosis of pulmonary sequestration. Spiral CT angiography should be the first choice for diagnosis of pulmonary sequestration. Surgery is the main method for the treatment of pulmonary sequestration. Abnormal arteries should be properly treated during operation.