Clinical Analysis on Diagnosis and Treatment for Patients with Pulmonary Sequestration_West China Medical Journal

Authors：

GUO Wenwei ,  ZENG Zhiyong , YANG Shengsheng , ZHUANG Congwen , XU Chi.

Department of Cardiothoracic Surgery, Fuzhou General Hospital of Nanjing Military Command of Chinese PLA, Fuzhou, Fujian 350025, P. R. China;

Corresponding author：

ZENG Zhiyong, Email: guoww19880910@126.com

Keywords：

肺隔离症; 手术治疗; 动脉栓塞

DOI：

10.7507/1002-0179.20130489

Video：

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目的　总结肺隔离症的临床特点、诊断方法及治疗的经验，降低误诊率，提高治疗水平。方法　回顾性分析福州总医院2002年7月－2012年6月收治的27例肺隔离症患者的临床诊治手段。结果　27例肺隔离症患者中，术前确诊仅有18例，误诊为肺部良性肿瘤3例，肺脓肿3例，支气管扩张2例，纵隔肿瘤1例。行外科切除的患者有19例，其中13例经胸腔镜手术，6例开胸手术，均无复发；行支气管动脉数字减影血管造影栓塞术8例，其中再发咯血1例来院行手术治疗。结论　外科治疗是目前肺隔离症治疗的主要方法。围手术期积极控制感染对治疗的成功有显著意义。

Citation： GUO Wenwei,ZENG Zhiyong,YANG Shengsheng,ZHUANG Congwen,XU Chi.. Clinical Analysis on Diagnosis and Treatment for Patients with Pulmonary Sequestration. West China Medical Journal, 2013, 28(10): 1551-1553. doi: 10.7507/1002-0179.20130489 Copy

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8.	张清峰, 杨海泉, 寇瑛琍, 等. 肺隔离症的临床诊断与治疗[J]. 华西医学, 2010, 25(9): 1622-1624.
9.	Wan IY, Lee TW, Sihoe AD, et al. Video-assisted thoracic surgery lobectomy for pulmonary sequestration[J]. Ann Thorac Surg, 2002, 73(2): 639-640.
10.	Yamasaki N, Tagawa T, Nakamura A, et al. Video-assisted thoracoscopic resection for intralobar pulmonary sequestration[J]. Gen Thorac Cardiovasc Surg, 2009, 57(1): 46-48.
11.	郝英祥, 刘涛, 王化改, 等. 肺隔离症一例[J]. 华西医学, 2010, 25(4): 672.
12.	刘洪生, 李单青, 黄诚, 等. 肺隔离症诊治: 53例分析[J]. 协和医学杂志, 2011, 2 (1): 61-64.

1. 　Liu HS, Li SQ, Qin YZ, et al. Surgical treatment of intralobar pulmonary sequestration[J]. Chin Med Sci J, 2010, 25(1): 53-56.
2. 　Wei Y, Li F. Pulmonary sequestration: a retrospective analysis of 2625 cases in China[J]. Eur J Cardiothorac Surg, 2011, 40(1): 39-42.
3. 　石思李, 张自力. 多层螺旋CT血管成像对肺隔离症的诊断价值[J]. 医学影像学杂志, 2009, 19(5): 634-636.
4. 　杨帆, 李万成, 姜轶. 血管介入确诊肺隔离症1例报告[J]. 中华肺部疾病杂志·电子版, 2012, 5(1): 85-86.
5. 　薛新颖, 王娜, 薛庆亮, 等. 以多发囊肿为征象的叶内型肺隔离征1 例并文献复习[J]. 军医进修学院学报, 2012, 33(1): 88-90.
6. 　Chien KJ, Huang TC, Lin CC, et al. Early and late outcomes of coil embolization of pulmonary sequestration in children[J]. Circ J, 2009, 73(5): 938-942.
7. 　贺建胜. 肺隔离症的诊断和外科治疗[J]. 中华临床医师杂志·电子版, 2011, 5(24): 7421-7422.
8. 　张清峰, 杨海泉, 寇瑛琍, 等. 肺隔离症的临床诊断与治疗[J]. 华西医学, 2010, 25(9): 1622-1624.
9. 　Wan IY, Lee TW, Sihoe AD, et al. Video-assisted thoracic surgery lobectomy for pulmonary sequestration[J]. Ann Thorac Surg, 2002, 73(2): 639-640.
10. 　Yamasaki N, Tagawa T, Nakamura A, et al. Video-assisted thoracoscopic resection for intralobar pulmonary sequestration[J]. Gen Thorac Cardiovasc Surg, 2009, 57(1): 46-48.
11. 　郝英祥, 刘涛, 王化改, 等. 肺隔离症一例[J]. 华西医学, 2010, 25(4): 672.
12. 　刘洪生, 李单青, 黄诚, 等. 肺隔离症诊治: 53例分析[J]. 协和医学杂志, 2011, 2 (1): 61-64.

West China Medical Journal

Clinical Analysis on Diagnosis and Treatment for Patients with Pulmonary Sequestration

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