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頁籤選單縮合
題 名 | Pulmonary Sequestration in Adults 12-year Experience=成人之游離肺--12年經驗 |
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作 者 | 程永隆; 徐先和; 于承平; 許正義; 李世俊; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 32:5 民88.09-10 |
頁 次 | 頁213-219 |
分類號 | 416.224 |
關鍵詞 | 游離肺; Pulmonary sequestration; Lobectomy; Carbohydrate antigen 19-9; |
語 文 | 英文(English) |
中文摘要 | 游離肺是少見的先天性異常。游離肺的定義是由不正常之系統動脈支配到無功能之肺組織。統計1985年至1997年間本院游離肺之成人患者,共有9例。游離肺之成人患者平均年齡3l.3歲,其中6位病人有臨床症狀,包括復發性肺炎、慢性咳嗽、與胸痛。無症狀之3位患者之中,2位是體檢中發現胸部X-光有異常,另1位是發現血液中CA19-9值異常偏高(806.7U/ml)。胸部影像檢查發現有腫塊或囊狀之肺病灶,這些病灶皆在下肺葉(左側6例、右側3例)。一位患者合併有漏斗胸。術前臆斷:游離肺6例、支氣管擴張症l例、肺癌2例。所有患者均接受手術治療。術中發現8例為肺葉內型游離肺、l例為混合型游離肺,所有患者皆接受肺葉切除。其血管支配是來自降胸主動脈或腹主動脈。混合型游離肺之靜脈回流至半奇靜脈。術前診斷率為66.7%(6/9 )。所有患者無手術併發症或死亡發生。術後追蹤半年至7年均無復發。當年輕人過去有復發性的肺部感染且胸部影像學檢查有局部病灶,尤其是下肺葉,游離肺須高度懷疑,而其中以肺葉內型游離肺最常見。而外科醫師在手術時,須注意異常之血管支配,以避免手術之意外發生。 |
英文摘要 | Pulmonary sequestration is a rare congenital anomaly in which an aberrant artery arising from the systemic system supplies to the nonfunctioning lung tissue. Nine patients with pulmonary sequestration, with a mean age of 31.3 year, were treated at our Hospital from 1985 to 1997. Six patients had symptoms including recurrent pneumonia, chronic cough and chest pain. The other three cases were asymptomatic and the illness was discovered incidentally due to abnormal chest film in two cases and high serum level of carbohydrate antigen 19-9 (CA 19-9) (806.7 U/ml) in another. The chest images showed a homogenous mass or cystic lung lesion in the lower lobes (left: 6, right: 3). All cases received surgical intervention which confirmed eight intralobar sequestration and one intermediate sequestration. Lobectomy was performed in all patients. No surgical morbidity or mortality occurred. All patients recovered fully. Pulmonary sequestration should be considered in young adults with recurrent pulmonary infection associated with a cystic lesion in the lower lobe. Imaging survey, including plain films, computed tomography, and angiography, can provide valuable diagnostic information about the lesions. However, the surgeon should always be aware of the possibility of uncommon vascular connections during surgery. |
本系統中英文摘要資訊取自各篇刊載內容。