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[支气管肺隔离症与假性隔离症]

[Bronchopulmonary sequestration and pseudosequestration].

作者信息

Lai R S, Kuo M L, Chern M S, Perng R P

机构信息

Department of Chest Medicine, Veterans General Hospital, Taipei.

出版信息

Zhonghua Yi Xue Za Zhi (Taipei). 1991 Mar;47(3):181-6.

PMID:1848146
Abstract

Bronchopulmonary sequestration is a rare congenital anomaly in which part of the pulmonary tissue is detached from the normal lung without normal connection with tracheobronchial trees and pulmonary artery. It is supplied by anomalous systemic artery. Pseudosequestration is referred as the combination of systemic arterial supply to lung with normal bronchial connection and coexistent infection. It is presumed that chronically inflamed lung may activate neovascularization from systemic circulation in this strage, we reported 15 cases of all pulmonary sequestration and 1 case of pseudosequestration. Most of the cases were young adults with the mean age of 24.6 years old. The intralobar type comprised 86.6% of all cases. In 84.6% of the cases, the aberrant artery originated from the thoracic aorta. Preoperative diagnosis was gained in 47% of cases. In 80% of all cases, the chest mainly characterized with homogeneous mass lesion or cyst(s) with air-fluid level. The distinction between sequestration and pseudosequestration is a diagnostic challenge because the radiologic findings are similar between both conditions. There are clinically significant complications, such as recurrent infections or massive bleeding during operation.

摘要

支气管肺隔离症是一种罕见的先天性异常,其中部分肺组织与正常肺分离,与气管支气管树和肺动脉无正常连接。它由异常的体循环动脉供血。假性隔离症是指肺由体循环动脉供血且支气管连接正常并伴有感染。据推测,在这种情况下,慢性炎症的肺可能会激活体循环中的新生血管形成,我们报告了15例全肺隔离症和1例假性隔离症病例。大多数病例为年轻人,平均年龄24.6岁。叶内型占所有病例的86.6%。在84.6%的病例中,异常动脉起源于胸主动脉。47%的病例获得了术前诊断。在所有病例的80%中,胸部主要表现为均匀的肿块病变或有气液平面的囊肿。隔离症和假性隔离症的鉴别是一项诊断挑战,因为两种情况的影像学表现相似。存在具有临床意义的并发症,如反复感染或手术期间大量出血。

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