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目的分析肺隔离症的临床特点及外科治疗方法,以提高诊治水平。方法回顾性分析经影像学、手术、病理证实的16例肺离症患者的临床资料,其中叶内型13例,均行肺叶切除;叶外型1例,行局部隔离肺病变切除;2例未行手术治疗。结果 16例中有3例术前确诊,其余误诊为肺癌6例,肺囊肿2例,支气管扩张2例,肺脓肿1例,肺炎2例。14患者均经外科手术治愈,无并发症。结论肺隔离症并非罕见病变,临床表现无特异,易误诊,其诊断主要依靠影像学检查,CTA明显优于X线检查,对于确诊或高度怀疑患者应及早手术治疗。
Objective To analyze the clinical features and surgical treatment of pulmonary sequestration in order to improve the diagnosis and treatment. Methods The clinical data of 16 patients with pulmonary disease confirmed by imaging, surgery and pathology were analyzed retrospectively. Thirteen patients with endobronchial lobectomy were performed lobectomy. One patient with lobectomy was performed resection of local isolated pulmonary lesion. Two patients No surgical treatment. Results Of the 16 cases, 3 cases were diagnosed preoperatively, the others were misdiagnosed as 6 cases of lung cancer, 2 cases of pulmonary cyst, 2 cases of bronchiectasis, 1 case of lung abscess and 2 cases of pneumonia. 14 patients were surgically cured, no complications. Conclusions Pulmonary sequestration is not a rare disease. The clinical manifestations are nonspecific and easily misdiagnosed. The diagnosis mainly depends on the imaging examination. The CTA is superior to the X-ray examination, and should be treated as soon as possible after the diagnosis or highly suspected patients.