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[支气管源性囊肿。成人感染的重要性。12例病例研究]

[Bronchogenic cysts. Importance of infection in adults. Study of 12 cases].

作者信息

Hernández-Solís Alejandro, Cruz-Ortiz Humberto, Gutiérrez-Díaz Ceballos María Esther, Cicero-Sabido Raúl

机构信息

Servicio de Neumología y Cirugía de Tórax, Hospital General de México, O.D, México, D.F., México.

Facultad de Medicina. Universidad Nacional Autónoma de México, México, D.F., México.

出版信息

Cir Cir. 2015 Mar-Apr;83(2):112-6. doi: 10.1016/j.circir.2015.04.005. Epub 2015 May 16.

Abstract

BACKGROUND

Bronchogenic cyst is a rare congenital malformation and commonly located in the mediastinum and lung parenchyma.

OBJECTIVE

To determine the clinical characteristics of the patients with diagnosis of bronchogenic cysts, their location and the infectious bacteria when the cysts are infected. The cases were collected from 1 January 2005 to 1 January 2013, in a third level hospital.

MATERIAL AND METHODS

The cases with bronchogenic cysts resected by thoracotomy were confirmed by histological study. Age, sex, admission diagnosis, location, size, imagenologic studies, and bacteriological cultures were evaluated.

RESULTS

Of the 12 cases with diagnosis of bronchogenic cysts surgically resected by thoracotomy, six were male and six female, with 50% located in lung parenchyma and 50% in mediastinum, one of the latter was para-oesophageal. Bacteriological study of the cystic content demonstrated bacterial infection in seven (58%) cases.

CONCLUSIONS

Bronchogenic cysts are rare congenital benign lesions. They must be resected because their content might be infected. The histopathology study is necessary to confirm the diagnosis, together with bacteriological examination. Thoracotomy is a safe procedure to resect bronchogenic cysts.

摘要

背景

支气管源性囊肿是一种罕见的先天性畸形,通常位于纵隔和肺实质内。

目的

确定诊断为支气管源性囊肿患者的临床特征、囊肿位置以及囊肿感染时的致病菌。病例收集自2005年1月1日至2013年1月1日期间的一家三级医院。

材料与方法

通过开胸手术切除的支气管源性囊肿病例经组织学研究确诊。对年龄、性别、入院诊断、位置、大小、影像学检查及细菌培养结果进行评估。

结果

12例经开胸手术切除的支气管源性囊肿病例中,男性6例,女性6例,50%位于肺实质,50%位于纵隔,其中1例位于食管旁。对囊肿内容物进行细菌学研究发现,7例(58%)存在细菌感染。

结论

支气管源性囊肿是罕见的先天性良性病变。因其内容物可能感染,故必须切除。组织病理学研究及细菌学检查对于确诊均有必要。开胸手术是切除支气管源性囊肿的安全术式。

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