先天性支气管肺囊肿的诊断与外科治疗
支气管,,先天性支气管肺囊肿；诊断；外科治疗,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的： 探讨先天性支气管肺囊肿的诊断和外科治疗。方法： 回顾性分析自1970年1月~2002年5月我科手术治疗的41例先天性支气管肺囊肿患者的临床资料。结果： 41例中有6例误诊为肺大疱、脓气胸、包虫破裂感染和支气管扩张症。行肺叶切除31例,左全肺切除3例，右肺中下叶切除1例，肺叶加楔型切除2例，肺楔形切除及肺段切除各2例。本组无死亡病例，1例病人术后并发支气管胸膜瘘。随访2个月～3年无复发，32例症状消失，9例好转。 结论：肺叶切除是主要术式，部分病例可行全肺切除、楔型切除和囊肿切除。关键词: 先天性支气管肺囊肿；诊断；外科治疗
Diagnosis and surgical treatment of congenital bronchogenic cyst of lung ZHU Hui, WU Mingbai, ZHANG Zhu, et al
(Department of Thoracic Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumuqi 830054, China)Abstract: Objective: To study the diagnosis and surgical treatment of congenital bronchogenic cyst of lung. Methods: From January 1970 to May 2002, 41 patients with congenital bronchogenic cyst of lung were treated in our hospital and clinical data of them were retrospectively studied. Six cases were misdiagnosed before operation. All patients were operated on and followedup from 2 months to 3 years. Result: No operative death was found in this series and one patient had postoperative bronchopleura fistula. Thivtytwo patients cured and 9 patients partial relieved after operation. No postoperative recurrence in this series. Conclusion: CT is an important technique to diagnosis. While lobectomy is the first choice in treatment, pneumonectomy, wedge resection or cystectomy can also be performed in some selected patients. ......
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