Zhang Xiao-Qin, Zhou Jian-Ying
Department of Emergency, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2008 Jun;31(6):421-4.
To explore the clinical manifestations, the diagnosis and the treatment of bronchopulmonary sequestration.
Twenty-seven cases of bronchopulmonary sequestration confirmed by histopathological studies were analyzed and related literatures were reviewed.
Among the 27 cases of bronchopulmonary sequestration, 22 were intralobar type, and 5 were extralobar type. All the patients with intralobar type had symptoms including cough, expectoration, fever, hemoptysis, but the 5 cases of extralobar type had no symptoms. Twenty cases were confirmed before operation by chest radiography, plain CT scan, enhanced CT scan, CT angiography, MR angiography, or selective arteriography. Chest operation was performed in all the cases, with successfully recovery after the operation, and no relapse was found.
The clinical manifestations of bronchopulmonary sequestration are nonspecific. Selective arteriography, although invasive, plays a pivotal role in the diagnosis. Non-invasive angiography including enhanced CT scan, CT angiography, and MR angiography have become important supplements to selective arteriography. Surgery is the optimal treatment, while the effect of interventional therapy needs further study.
探讨肺隔离症的临床表现、诊断及治疗方法。
分析经组织病理学证实的27例肺隔离症病例，并复习相关文献。
27例肺隔离症中，叶内型22例，叶外型5例。叶内型患者均有咳嗽、咳痰、发热、咯血等症状，而5例叶外型患者无症状。20例术前经胸部X线、普通CT扫描、增强CT扫描、CT血管造影、磁共振血管造影或选择性动脉造影确诊。所有病例均行开胸手术，术后恢复良好，无复发。
肺隔离症的临床表现无特异性。选择性动脉造影虽为有创检查，但在诊断中起关键作用。增强CT扫描、CT血管造影和磁共振血管造影等无创血管造影已成为选择性动脉造影的重要补充。手术是最佳治疗方法，而介入治疗的效果有待进一步研究。
