Shanti Christina M, Klein Michael D
Division of Pediatric Surgery, Children's Hospital of Michigan/Wayne State University, Detroit, Michigan 48201, USA.
Semin Pediatr Surg. 2008 Feb;17(1):2-8. doi: 10.1053/j.sempedsurg.2007.10.002.
Cystic lung disease is divided into congenital and acquired lesions. Congenital cystic lung disease includes several malformations with distinct anatomical and histological features. There is significant overlap between these lesions to suggest a common pathologic mechanism for their occurrence. Congenital cystic lung lesions include cystic adenomatoid malformations, pulmonary sequestrations, congenital lobar emphysema, and peripheral bronchogenic cysts. These lesions are commonly diagnosed prenatally with high accuracy. Prenatal imaging has allowed us to better understand their natural history and devise strategies for prenatal and postnatal management. Some lesions warrant resection (even prenatally), whereas others can be managed expectantly.
肺囊性疾病分为先天性和后天性病变。先天性肺囊性疾病包括几种具有独特解剖和组织学特征的畸形。这些病变之间存在显著重叠，提示其发生有共同的病理机制。先天性肺囊性病变包括囊性腺瘤样畸形、肺隔离症、先天性大叶性肺气肿和周围型支气管囊肿。这些病变通常在产前就能得到高精度诊断。产前影像学检查使我们能够更好地了解它们的自然病程，并制定产前和产后管理策略。一些病变需要切除（甚至在产前），而另一些则可以进行观察处理。
