创伤性肺假性囊肿的诊断与预后
Diagnosis and prognosis of traumatic pulmonary pseudocysts.
作者信息
Bedel Cihan, Özkaya Muharrem
机构信息
Health Science University Antalya Training and Research Hospital Emergency Medicine Department, Antalya, Turkey.
Department of Thorasic Surgery, Health Science University Antalya Training and Research Hospital, Antalya, Turkey.
出版信息
Indian J Thorac Cardiovasc Surg. 2019 Apr;35(2):186-189. doi: 10.1007/s12055-018-0762-8. Epub 2018 Oct 29.
PURPOSE
Traumatic pulmonary pseudocysts (TPP) are rarely talked about, developing in less than 3% of patients with pulmonary parenchymal injuries. Resolution usually occurs within a few weeks to a few months.
METHODS
A retrospective study was undertaken in 30 cases treated in Antalya Training and Research Hospital, Turkey, from January 2014 to December 2017.
RESULTS
The 30 patients with TPP were 28 males (93.3%) and 2 females (6.7%) aged 14-64 years (mean age 31.9 years). Most of them are located in the right lower lobe (50%). The mean size of TPP was 2.07 cm. The overall resolution time for TPP was found to range from 8 to 124 days with a mean of 45.1 ± 32.9 days.
CONCLUSIONS
Computed tomography (CT) is a more beneficial than chest radiograph for early diagnosis. Physicians should control follow-up chest radiograph or CT scans until the pseudocyst resolves. Conservative treatment is acceptable in most cases, but intervention may be necessary if complications show up.
目的
创伤性肺假性囊肿（TPP）很少被提及，在肺实质损伤患者中发生率不到3%。通常在几周至几个月内消退。
方法
对2014年1月至2017年12月在土耳其安塔利亚培训与研究医院接受治疗的30例患者进行回顾性研究。
结果
30例TPP患者中，男性28例（93.3%），女性2例（6.7%），年龄14 - 64岁（平均年龄31.9岁）。大多数位于右下叶（50%）。TPP的平均大小为2.07厘米。TPP的总体消退时间为8至124天，平均为45.1±32.9天。
结论
计算机断层扫描（CT）在早期诊断方面比胸部X线片更具优势。医生应在假性囊肿消退前对胸部X线片或CT扫描进行随访。大多数情况下保守治疗是可以接受的，但如果出现并发症可能需要干预。
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