腹腔干来源的右侧肺隔离症1例并文献复习

中国医药导刊 ›› 2020, Vol. 22 ›› Issue (6): 407-410.

腹腔干来源的右侧肺隔离症1例并文献复习

刘大锐，李报春*

解放军第960医院泰安院区呼吸科，山东泰安 271000

收稿日期:2020-04-14 修回日期:2020-05-21 出版日期:2020-06-28 发布日期:2020-07-22

Right Lower Lobe Pulmonary Sequestration with Feeding Artery Originating from the Celiac Trunk： A Case Report and Literature Review

Department of Respiratory Medicine，The 960th Hospital of PLA，Shandong Tai′an 271000，China

Received:2020-04-14 Revised:2020-05-21 Online:2020-06-28 Published:2020-07-22
Contact: baochun baochunLi E-mail:libaochun88@163.com

摘要/Abstract

摘要： 目的：提高对肺隔离症(pulmonary sequestration，PS)的临床特点及诊疗手段的认识，减少临床误诊漏诊。方法：对我科确诊的1例肺隔离症患者的临床资料进行回顾性分析，并进行文献复习。结果：肺隔离症大多数缺乏特征性临床表现，常表现为咳嗽、咳痰、胸痛、咯血等。本患者经螺旋CT平扫+增强确诊，成功进行手术治疗，术后病理证实。结论：肺隔离症极易误诊，诊断方法为螺旋CT平扫+增强及三维重建、数字减影动脉造影术(DSA)。螺旋CT增强扫描可显示异常供血动脉，是诊断肺隔离症的首选检查方法。手术是本病最佳治疗方式。

关键词: font-size:medium, ">肺隔离症；诊断；治疗

Abstract: Objective： To improve the diagnosis level of pulmonary sequestration (PS) in order to reduce misdiagnosis and missed diagnosis rates.Methods： One case of pulmonary sequestration patient was retrospectively analyzed and the correlative literatures were reviewed. Results： Most of pulmonary sequestration lacks characteristic of clinical manifestations， mostly manifested in repeated cough， sputum， chestpain， hemoptysis. The patient was confirmed by spiral CT plain scan + enhancement， and was successfully treated by surgery， which was confirmed by postoperative pathology. Conclusion： Because of the non-specific clinical manifestations of pulmonary sequestration，the disease tends to easily be misdiagnosed. The diagnosis methods were spiral CT plain scan + enhancement and three-dimensional reconstruction， digital subtraction and arteriography (DSA). Enhanced spiral CT can detect anomalous systemic artery， which should be the first choice in diagnose of pulmonary sequestration， and the surgical operation is the best treatment for the disease.

Key words: font-size:medium, ">Pulmonary sequestration； Diagnosis； Treatment

中图分类号:

刘大锐, 李报春. 腹腔干来源的右侧肺隔离症1例并文献复习[J]. 中国医药导刊, 2020, 22(6): 407-410.

LIU Darui, LI Baochun. Right Lower Lobe Pulmonary Sequestration with Feeding Artery Originating from the Celiac Trunk： A Case Report and Literature Review[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2020, 22(6): 407-410.

参考文献 20

[1]	Principi N， Pietro G， Esposito S. Bronchopulmonary dysplasia：clinical aspects and preventive and therapeutic[J]. J Transl Med，2018，16(1)：36.
[2]	Motono N， Iwai S， Funasaki A， et al. Indocyanine green fluorescence-guided thoracoscopic pulmonary resection for intralobar pulmonary sequestration：a case report[J]. J Medical Case Reports，2019，13(1)：228.
[3]	Tian Z， Zhou Y， Liu H. Extralobar pulmonary sequestration with absence of pericardium and atrial septal defect in a woman[J]. Journal of Cardiothoracic Surgery， 2019， 14(1)：154-155.
[4]	Zhang N， Zeng Q， Chen C， et al. Distribution，diagnosis，and treatment of pulmonary sequestration：Report of 208 cases[J]. J Pediatr Surg， 2019，54(7)：1286-1292.
[5]	贾慧敏.小儿肺隔离症的病因与解剖学研究进展[J]. 临床小儿外科杂志，2018，17(5)：325-327.
[6]	Zhang J， Chen N， Qiu X. Surgical resection of 30 years recurring pneumonia：1 case of giant bronchopulmonary sequestration[J]. J Thorac Oncol， 2018，13(10S)：S1037.
[7]	Pryce DM. Lower accessory pulmonary artery with intralobar sequestration of lung; a report of seven cases[J]. J Pathol, 1986, 58(3):457-467.
[8]	Stocker JT, Malczak HT. A study of pulmonary ligament arteries: Relationship to intralobar pulmonary sequestration[J]. Chest, 1984, 86(4):611-615.
[9]	Smith RA. A theory of the origin of intralobar sequestration of lung[J]. Thorax, 1996, 11(1):10.
[10]	Wang LM， Cao JL， Hu J.Video-assisted thoracic surgery for pulmonary sequestration：a safe alternative procedure[J]. J Thorac Dis， 2016，8(1)：31-36.
[11]	Petty L， Joseph A， Sanchez J. Case report：pulmonary sequestration in an adult[J]. Radiol Case Rep， 2017， 13(1)：21-23.
[12]	Hewett L， Kwon J， Adams JD， et al. Intralobar pulmonary sequestration with aneurysmal feeding vessel：use of hybrid surgical management[J]. Ann Thorac Surg， 2016，102(6)：e533-e535.
[13]	Zener R， Bottoni D， Zaleski A， et al. Transarterial embolization of intralobar pulmonary sequestration in a young adult with hemoptysis[J]. J Thorac Dis， 2017， 9(3)：E188-E193.
[14]	Alsumrain M， Ryu JH. Pulmonary sequestration in adults：a retrospective review of resected and unresected cases[J]. BMC Pulm Med， 2018，18(1)：97.
[15]	Chen Y， Liu B， Shao J， et al. Endovascular treatment of pulmonary sequestration with thoracic endograft：two case reports[J]. Medicine， 2019， 98(31)：e16666.
[16]	Marwah R， Nair JR， Singal A， et al. 3D multidetector CT angiographic evaluation of intralobular bronchopulmonary sequestration[J]. J Indian Assoc Pediatr Surg， 2010， 15(1)：39-41.
[17]	郭海燕，曹阿丹，徐文中，等.多层螺旋CT三维血管重建技术诊断肺隔离症的价值[J]. 中华实用诊断与治疗杂志.2017，31(3)：276-277.
[18]	Belczak SQ， Da Silva IT， Bernardes JC， et al. Pulmonary sequestration and endovascular treatment：a case report[J]. J Vasc Bras，2019：e20180110.
[19]	Li Q， Xie D， Sihoe A， et al. Video-assisted thoracic surgery is associated with better short-term outcomes than open thoracotomy in adult patients with intralobar pulmonary sequestration[J]. Interact Cardiovasc Thorac Surg， 2018，26(2)：284-287.
[20]	Gupta R， Patadia D， Belligund P. An atypical presentation of pulmonary sequestration[J]. J Res Med Sci， 2017，22(1)：527-529.

快速检索引用检索图表检索高级检索