先天性肺叶气肿是一种外科疾病吗？
Is congenital lobar emphysema a surgical disease?
作者信息
Mei-Zahav Meir, Konen Osnat, Manson David, Langer Jacob C
机构信息
Department of Pediatrics, Hospital for Sick Children, Toronto, Ontario, Canada M5G 1X8.
出版信息
J Pediatr Surg. 2006 Jun;41(6):1058-61. doi: 10.1016/j.jpedsurg.2006.02.011.
BACKGROUND
The management of congenital lobar emphysema has traditionally been surgical. Because of increased use of imaging, this lesion is frequently found in asymptomatic and mildly symptomatic children, prompting us to adopt a more conservative approach to these children.
METHODS
All children with congenital lobar emphysema presenting between 1995 and 2002 were included. Medical records, imaging files, and pathology reports were reviewed.
RESULTS
Twenty children (0-17 years) were identified. Eight were diagnosed antenatally. Fourteen were managed without surgery. Of the 11 symptomatic children, 6 showed spontaneous improvement.
CONCLUSIONS
The favorable outcome of both asymptomatic and mildly symptomatic children suggests that a nonoperative approach should be considered in these patients.
背景
先天性大叶性肺气肿的治疗传统上是手术治疗。由于影像学检查的使用增加，这种病变在无症状和症状轻微的儿童中经常被发现，促使我们对这些儿童采取更保守的治疗方法。
方法
纳入1995年至2002年间出现的所有先天性大叶性肺气肿患儿。回顾了病历、影像学资料和病理报告。
结果
确定了20名儿童（0至17岁）。8名在产前被诊断出。14名未接受手术治疗。在11名有症状的儿童中，6名症状自发改善。
结论
无症状和症状轻微儿童的良好预后表明，这些患者应考虑采取非手术治疗方法。
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