Berna Pascal, Cazes Aurélie, Bagan Patrick, Riquet Marc
Service de Chirurgie Thoracique, Hopital Amiens Sud, Amiens, France.
Interact Cardiovasc Thorac Surg. 2011 Jun;12(6):970-2. doi: 10.1510/icvts.2010.263897. Epub 2011 Mar 1.
We examined retrospectively the characteristics and the outcomes of intralobar sequestrations (ILS). We reviewed data we obtained from the medical records of patients with ILS who underwent surgery at Laennec, Georges Pompidou European, and Amiens South Hospital. From 1985 to 2010, 26 consecutive adults patients underwent surgery for ILS. There were 14 males and 12 females. The average age was 37.3 years. The ILS was right-sided in 11 patients (42.3%) and left-sided in 15 patients (57.7%). A systemic artery supply was found during the preoperative period in 11. Surgery consisted of lobectomy (n=20), bilobectomy (n=1), segmentectomy (n=4), and pneumonectomy (n=1). There were no postoperative deaths, and the postoperative course was uneventful in 20 patients. All patients were alive and faring well at long-term follow-up (mean follow-up 36.5 ± 7.2 months). Surgery consisted of lobectomy in most cases. The arterial supply came from the descending thoracic and abdominal aorta. Hemoptysis and/or recurrent infections were present in 14/26 (54%) of patients. These are the same symptoms as those leading to the diagnosis of bronchectasis. This suggests, for similar reasons, that ILS in adults should be nosologically very similar to acquired lesions, such as bronchectasis.
我们回顾性地研究了叶内型肺隔离症（ILS）的特征及治疗结果。我们查阅了在拉埃内克医院、乔治·蓬皮杜欧洲医院和亚眠南部医院接受手术的ILS患者病历资料。1985年至2010年，连续26例成年患者接受了ILS手术。其中男性14例，女性12例。平均年龄为37.3岁。11例患者（42.3%）的ILS位于右侧，15例患者（57.7%）位于左侧。11例患者在术前发现有体循环动脉供血。手术方式包括肺叶切除术（n = 20）、双肺叶切除术（n = 1）、肺段切除术（n = 4）和全肺切除术（n = 1）。无术后死亡病例，20例患者术后恢复顺利。所有患者在长期随访中均存活且情况良好（平均随访36.5 ± 7.2个月）。多数病例采用肺叶切除术。动脉供血来自胸降主动脉和腹主动脉。14/26（54%）的患者出现咯血和/或反复感染。这些症状与导致支气管扩张诊断的症状相同。这表明，出于类似原因，成人ILS在病因学上应与诸如支气管扩张等后天性病变非常相似。
