Laurin S, Hägerstrand I
Department of Radiology, University of Lund, Sweden.
Pediatr Radiol. 1999 Mar;29(3):174-8. doi: 10.1007/s002470050565.
Intralobar sequestration (ILS) has been suggested to be an acquired lesion. However, we have observed several young infants who had ILS.
Since this fact seems to indicate a congenital origin, we reviewed our experience.
A retrospective review of bronchopulmonary sequestration from the Departments of Radiology and Pathology in Lund between 1964 and 1997.
We identified seven infants or young children with a diagnosis of intralobar sequestration. In each patient, the ILS was present before recurrent infection developed. Five had chest X-rays as neonates, one at 3 months and one at 11 months of age. All but one showed an abnormality on their first chest X-ray, consistent with sequestration. Six of the ILS were verified at angiography; all seven were surgically removed. Two of the children with ILS also had congenital cystic adenomatoid malformation (CCAM). Three children had both ILS and scimitar syndrome.
The fact that ILS was present in seven newborn and young infants indicates that this lesion is, at least in some patients, a congenital malformation.
叶内型肺隔离症（ILS）被认为是一种后天性病变。然而，我们观察到了几名患有ILS的幼儿。
由于这一事实似乎表明其起源于先天性，我们回顾了我们的经验。
对1964年至1997年间隆德放射科和病理科的支气管肺隔离症进行回顾性研究。
我们确定了7名诊断为叶内型肺隔离症的婴儿或幼儿。在每名患者中，ILS在反复感染发生之前就已存在。5名患者在新生儿期进行了胸部X线检查，1名在3个月时，1名在11个月时。除1名患者外，所有患者首次胸部X线检查均显示异常，符合肺隔离症表现。6例ILS经血管造影证实；7例均接受了手术切除。2例患有ILS的儿童还患有先天性囊性腺瘤样畸形（CCAM）。3名儿童同时患有ILS和弯刀综合征。
7名新生儿和幼儿中存在ILS这一事实表明，至少在某些患者中，这种病变是一种先天性畸形。
