Diagnosis and surgical treatment of 26 cases with pulmonary sequestration
10.3760/cma.j.issn.1008-6706.2014.22.008
- VernacularTitle:肺隔离症26例诊断及外科治疗
- Author:
Junxu WU
;
Kaihu SHI
;
Shengsong XU
;
Jiming SHA
;
Xudong ZHAO
;
Yuqi WANG
- Publication Type:Journal Article
- Keywords:
Pulmonary sequestration;
Diagnosis;
Operation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(22):3378-3380
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics,diagnosis and the surgical treatment experience of the pulmonary sequestration.Methods The clinical data from 26 patients with pulmonary sequestration undergoing surgical operation were reviewed and analyzed retrospectively.Results Pulmonary sequestration was diagnosed in 16 out of 26 patients before the operation with the diagnosis rate of 61.5%(16/26).Pre-operation chest X-ray and plain CT-scan were performed in 26 cases.Enhancement CT scanning and CTA imaging were performed in 8 cases, magnetic resonance imaging were performed in 5 cases.21 patients with intralobar sequestration underwent lobectomy and 8 patients with extralobar sequestration underwent local lesion resection.Abnormal supply arteries were intraoprat-ibely found in 21 cases originating from the thoracic main artery,3 cases from the celiac artery,2 cases from the dia-phragm artery.Smooth recovery was achieved in all patients.No peri-operative death occurred.Symptoms disappeared were followed-up for 6 months.Conclusion Enhancement CT scanning,CTA imaging and magnetic resonance ima-ging ( MRI) may improve the diagnosis of pulmonary sequestration.Operation is a safe and effective method for the treatment of pulmonary sequestration.But intraoperative abnormal blood supply arteries should be paid attention to the treatment and prevention of intraoperative and postoperative bleeding.
