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：

肺隔離癥; 手術治療; 動脈栓塞

DOI：

10.7507/1002-0179.20130489

Video：

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目的　總結肺隔離癥的臨床特點、診斷方法及治療的經驗，降低誤診率，提高治療水平。方法　回顧性分析福州總醫院2002年7月－2012年6月收治的27例肺隔離癥患者的臨床診治手段。結果　27例肺隔離癥患者中，術前確診僅有18例，誤診為肺部良性腫瘤3例，肺膿腫3例，支氣管擴張2例，縱隔腫瘤1例。行外科切除的患者有19例，其中13例經胸腔鏡手術，6例開胸手術，均無復發；行支氣管動脈數字減影血管造影栓塞術8例，其中再發咯血1例來院行手術治療。結論　外科治療是目前肺隔離癥治療的主要方法。圍手術期積極控制感染對治療的成功有顯著意義。

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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11.	郝英祥, 劉濤, 王化改, 等. 肺隔離癥一例[J]. 華西醫學, 2010, 25(4): 672.
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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, 張自力. 多層螺旋CT血管成像對肺隔離癥的診斷價值[J]. 醫學影像學雜志, 2009, 19(5): 634-636.
4. 　楊帆, 李萬成, 姜軼. 血管介入確診肺隔離癥1例報告[J]. 中華肺部疾病雜志·電子版, 2012, 5(1): 85-86.
5. 　薛新穎, 王娜, 薛慶亮, 等. 以多發囊腫為征象的葉內型肺隔離征1 例并文獻復習[J]. 軍醫進修學院學報, 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. 　賀建勝. 肺隔離癥的診斷和外科治療[J]. 中華臨床醫師雜志·電子版, 2011, 5(24): 7421-7422.
8. 　張清峰, 楊海泉, 寇瑛琍, 等. 肺隔離癥的臨床診斷與治療[J]. 華西醫學, 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, 劉濤, 王化改, 等. 肺隔離癥一例[J]. 華西醫學, 2010, 25(4): 672.
12. 　劉洪生, 李單青, 黃誠, 等. 肺隔離癥診治: 53例分析[J]. 協和醫學雜志, 2011, 2 (1): 61-64.

West China Medical Journal

Clinical Analysis on Diagnosis and Treatment for Patients with Pulmonary Sequestration

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