Udaka T, Aoe M, Moriyama S, Tsukuda K, Misao T, Takagi S, Okatani T, Nagahiro I, Yamanaka M, Okabe K
Second Department of Surgery, Okayama University School of Medicine, Japan.
Kyobu Geka. 1995 May;48(5):389-93.
We have experienced a total of 11 patients operated for pulmonary arteriovernous fistula (PAVF) from 1976 to 1993 consisting of three males and eight females with the average age of 35 years. To reserve the pulmonary function, limited resections were applied for all cases (partial resection in 8, fistula excision in 2, and segmentectomy in one case). The most recent case, a 36-year-old female who had two abnormal shadows on her routine chest X-ray, was diagnosed as PAVF by pulmonary arteriogram. She was treated by fistula excision in the right S8 lesion and embolization in the left S1 + 2 lesion. Because of its unsatisfactory natural course, PAVF should be treated aggressively by surgery and/or by embolization according to the size, shape and localization.
1976年至1993年期间，我们共收治了11例因肺动静脉瘘（PAVF）接受手术的患者，其中男性3例，女性8例，平均年龄35岁。为保留肺功能，所有病例均采用了局限性切除术（8例行部分切除术，2例行瘘管切除术，1例行肺段切除术）。最近的一例患者为36岁女性，其在常规胸部X线检查时发现两处异常阴影，经肺血管造影诊断为PAVF。她接受了右S8病变的瘘管切除术及左S1 + 2病变的栓塞治疗。由于其自然病程不尽人意，对于PAVF应根据其大小、形状及部位积极采取手术和/或栓塞治疗。
