Maurin Sophie, Hery Géraldine, Bourliere Brigitte, Potier Alain, Guys Jean-Michel, Lagausie Pascal De
Department of Pediatric Surgery, Marseille University, France.
J Minim Access Surg. 2013 Jan;9(1):25-8. doi: 10.4103/0972-9941.107132.
The purpose of this study was to describe an approach to surgical management of bronchogenic cysts based on the natural course observed from the time of antenatal screening to surgical resection in patients treated at our institution and reported in the literature.
We retrospectively reviewed the clinical features of all children presenting bronchogenic cyst diagnosed antenatally from 2007 to 2010. A total of six children were included.
Antenatal diagnosis was accurate in 62.5% of cases. In the first year of life, the size of the cyst remained stable in four patients, doubled in one, and increased 30% within six months in one. The indication for surgery was emphysema of the left bronchus in two patients and rapid growth in two patients. One patient is still awaiting surgery.
Bronchogenic cysts grow slowly in the first months of life, but growth is exponential even in the absence of complications. We recommend complete resection before the age of two years to prevent infectious complications and facilitate surgery.
本研究的目的是描述一种基于从产前筛查到在我们机构接受治疗并在文献中报道的患者手术切除期间观察到的自然病程的支气管源性囊肿手术管理方法。
我们回顾性分析了2007年至2010年所有产前诊断为支气管源性囊肿的儿童的临床特征。共纳入6例儿童。
62.5%的病例产前诊断准确。在生命的第一年，4例患者的囊肿大小保持稳定，1例患者的囊肿大小翻倍，1例患者的囊肿在6个月内增大了30%。手术指征为2例患者左支气管肺气肿，2例患者囊肿快速生长。1例患者仍在等待手术。
支气管源性囊肿在生命的最初几个月生长缓慢，但即使没有并发症，生长也是呈指数级的。我们建议在两岁前进行完整切除，以预防感染性并发症并便于手术。
