The diagnosis and treatment of congenital pulmonary airway malformation in children
10.3760/cma.j.issn.1001-4497.2018.08.006
- VernacularTitle:先天性肺气道畸形的诊断和治疗
- Author:
Jie YU
1
;
Na ZHANG
;
Chenghao CHEN
;
Xu ZHANG
;
Qi ZENG
Author Information
1. 100045,国家儿童医学中心 首都医科大学附属北京儿童医院胸外科
- Keywords:
Congenital pulmonary airway malformation;
Congenital adenmatoid malformation;
Thoracoscopic minimally invasive surgery
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(8):469-472
- CountryChina
- Language:Chinese
-
Abstract:
Objective The purpose of the study is introducing the concept and classification of congenital pulmonary airway malformation(CPAM),and summarizing the clinical features,imaging,pathological features and treatment methods of congenital pulmonary airway malformation.Methods 283 cases were retrospectively analyzed from April 2012 to November 2017,which were treated by thoracic surgery,pathological diagnosis were isolated congenital pulmonary airway abnormalities except combination of other deformity surgery at the same time.we analyze the clinical data,surgical methods,operation and postoperative pathology classification.Results All the 283 cases were successfully performed without severe surgical complications and secondary thoracotomy.There were 167 males and 116 females,male∶ female =1.44∶1;Age:0.77-166 months,median age 20.67 months;The operation time was 25-220 min,median time was 75min,and the bleeding volume was 1-250 ml,and the median blood volume was 5 ml.Among them,80 patients underwent thoracotomy,203 cases of thoracoscopic surgery,19 cases were transferred.Postoperative pathology 57 cases of type 1,194 cases of type 2,5 cases of type 3,9 cases of type 4.Conclusion CCAM has been renamed as congenital pulmonary airway malformation (CPAM) and has been reclassified.CPAM can be detected by imaging examination,and the diagnosis is based on histopathological examination,and the prognosis is better after the complete surgical resection of lung lesions.Thoracoscopic minimally invasive surgery could make less surgical trauma,small and beautiful wound,which is suggested to be promoted widely.
