论文部分内容阅读
目的总结12例小儿肺隔离症的诊断和治疗经验。方法1994-01—2006-08,对温州医学院附属育英儿童医院收治的12例经手术和病理检查证实为肺隔离症的患儿临床资料进行回顾性分析。结果12例肺隔离症患儿胸部X线均发现肺部异常阴影,7例呈圆形、类圆形或不规则实性块影,5例呈囊性及多囊性阴影改变;术前确诊5例,1例经主动脉逆行造影证实,4例经螺旋CT三维重建、MRI检查发现胸主动脉与病灶之间有异常血管相通,术前高度怀疑肺隔离症3例,术前有4例误诊;8例叶内型肺隔离症患儿行肺叶切除术,4例叶外型肺隔离症行单纯隔离肺切除术。结论临床医师应提高对肺隔离症的认知和重视程度。为降低肺隔离症误诊率,对可疑的肺隔离症患儿提倡螺旋CT三维重建和胸部MRI检查。
Objective To summarize the diagnosis and treatment experience of 12 children with pulmonary sequestration. Methods The clinical data of 12 children with pulmonary sequestration confirmed by operation and pathology were retrospectively analyzed from January 1994 to June 2006 in Yuying Children’s Hospital of Wenzhou Medical College. Results In all 12 cases of pulmonary sequestration, abnormal lung shadow was found on chest X-ray, 7 cases were round, round or irregular solid block, 5 cases were cystic and cystic cystic changes; Preoperative diagnosis 5 cases, 1 case confirmed by retrograde aortic angiography, 4 cases by three-dimensional reconstruction of spiral CT, MRI examination revealed abnormal blood vessels between the thoracic aorta and the lesion, preoperative high suspicion of pulmonary sequestration in 3 cases, 4 cases before surgery Misdiagnosis; 8 cases of leaves of pulmonary disease in children with lobectomy, 4 cases of pulmonary extracorporeal isolation line isolation pneumonectomy. Conclusion Clinicians should improve their cognition and emphasis on pulmonary sequestration. In order to reduce the misdiagnosis rate of pulmonary sequestration, spiral CT three-dimensional reconstruction and chest MRI are recommended in children with suspected pulmonary sequestration.