Ishida H, Hajikano H, Hayashi A
Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Jun;40(6):957-68.
Twenty cases of the intralobal sequestration of the lung in children have been experienced. The age of the patients were from eleven days to fifteen years. Intralobal sequestration was classified into two groups, (central type and peripheral type) by the way of reconstruction of the bronchial tree in the sequestrated lung. In 8 cases of central type, the site of lesion was variable. The bronchial trees of the sequestrated lung were running toward the hilus of the normal lung but the bronchi of the affected area in the normal lung were absent. The aberrant arteries were muscular in histology, and the drainage veins were pulmonary vein. In 12 cases of peripheral type, the lesion was in segment 10 area in every cases. The bronchial trees of the sequestrated lung were running toward the pulmonary ligament where an aberrant artery came from, and B10 of the normal lung were patent. The aberrant arteries were elastic in histology, and the drainage veins were pulmonary and/or azygos vein. It is conceivable that the peripheral type is the real intralobal sequestration and the central type is the mixture of some other diseases.
我们已诊治过20例儿童肺叶内型肺隔离症患者。患者年龄从11天至15岁不等。根据隔离肺内支气管树的重建方式,肺叶内型肺隔离症分为两组(中央型和周围型)。中央型8例,病变部位各异。隔离肺的支气管树朝向正常肺门走行,但正常肺内病变区域的支气管缺如。异常动脉在组织学上为肌性,引流静脉为肺静脉。周围型12例,所有病例病变均位于第10段区域。隔离肺的支气管树朝向异常动脉发出处的肺韧带走行,正常肺的B10支气管通畅。异常动脉在组织学上为弹性型,引流静脉为肺静脉和/或奇静脉。可以设想,周围型才是真正的肺叶内型肺隔离症,而中央型是其他一些疾病的混合表现。