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膈肌内叶外型肺隔离症的诊断与治疗:附11例报告

Diagnosis and management of intradiaphragmatic extralobar pulmonary sequestration: a report of 11 cases.

作者信息

Chun Hong, Gang Yu, Xiaochun Zhu, Jin Tang, Bo Xia, Limin Wang, Cuifen Lui

机构信息

Department of Fetal Medicine Center Guangdong Women Children Hospital Health Institute Women Children Hospital Affiliated to Guangzhou Medical College Guangzhou 511400 China.

Department of Fetal Medicine Center Guangdong Women Children Hospital Health Institute Women Children Hospital Affiliated to Guangzhou Medical College Guangzhou 511400 China.

出版信息

J Pediatr Surg. 2015 Aug;50(8):1269-72. doi: 10.1016/j.jpedsurg.2015.03.061. Epub 2015 Apr 10.

Abstract

Evaluate the diagnosis and management of intradiaphragmatic extralobar pulmonary sequestration (IDEPS). We retrospectively reviewed cases of bronchopulmonary sequestrations (BPS) diagnosed in our hospital from March 2011 to May 2014, in order to identify patients with IDEPS. Diagnosis of IDEPS was confirmed using prenatal Doppler ultrasound, postnatal intravascular enhanced computed tomography, and surgery. The 11 cases diagnosed with IDEPSs were confirmed with histopathology. In our first case we did not find any mass from abdominal surgery; we then turned to transthoracic surgery. Three patients underwent thoracoscopy, and seven underwent thoracotomy. IDEPS is better approached through the chest. Thoracoscopy in experienced hands a favorable approach.

摘要

评估膈内叶外型肺隔离症(IDEPS)的诊断与治疗。我们回顾性分析了2011年3月至2014年5月在我院诊断的支气管肺隔离症(BPS)病例,以确定IDEPS患者。通过产前多普勒超声、产后血管内增强计算机断层扫描和手术确诊IDEPS。11例诊断为IDEPS的病例经组织病理学证实。在我们的第一例病例中,腹部手术未发现任何肿块;随后我们转向了开胸手术。3例患者接受了胸腔镜检查,7例接受了开胸手术。IDEPS经胸部处理效果更佳。由经验丰富的医生操作,胸腔镜检查是一种不错的方法。

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