论文部分内容阅读
目的 探讨肺隔离症发病机理、病理分型、诊断及治疗。方法 分析我院自1983年～2000年手术治疗15例肺隔离症患者的临床资料。结果 15例中,叶内型12例(占80％),叶外型3例(20％)。肺部感染9例(均为叶内型),咯血6例(均为叶内型),无症状者5例。X线表现为肺内肿块9例(60％),囊肿6例(40％);CT表现为肿块或囊肿,发现异常滋养动脉供血6例。15例病人纤支镜检与痰细胞学检查未发现肿瘤性病变。结论 肺隔离症并非罕见性疾病,其诊断主要依靠影像学检查,CT明显优于常规X线及支气管碘油造影检查,对于症状明显者应尽早治疗。
Objective To investigate the pathogenesis, pathological classification, diagnosis and treatment of pulmonary sequestration. Methods The clinical data of 15 cases of pulmonary sequestration in our hospital from 1983 to 2000 were analyzed. Results Among the 15 cases, 12 cases (80%) had leaf type and 3 cases (20%) had leaf shape. Pulmonary infection in 9 cases (both intra-leaf type), hemoptysis in 6 cases (both leaf type), asymptomatic in 5 cases. X-ray showed intracranial masses in 9 cases (60%) and cysts in 6 cases (40%). CT showed masses or cysts and found abnormal feeding artery in 6 cases. Fifteen patients with bronchoscopy and sputum cytology did not find neoplastic lesions. Conclusions Pulmonary sequestration is not a rare disease. The diagnosis mainly depends on the imaging examination. CT is superior to routine X - ray and bronchial lipiodol angiography, and should be treated as soon as possible.