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肺隔离症的诊断与外科治疗

Zhi-ping LI,Ji-chun LIU,Ben-tong YU,Qi-cai WU,Sheng LIU,Li WAN,Xiao-ming LIU,Xiang LING,Shang-gan ZENG

Chinese Journal of Postgraduates of Medicine（2011）

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Abstract
目的 探讨肺隔离症的诊断和外科治疗方法,提高对本病的认识.方法 回顾性分析27例肺隔离症患者的临床资料,其中男15例,女12例；年龄4～56岁.术前分别行胸部X线片、CT、CT血管造影术(CTA)和磁共振成像(MRI)等检查；17例经增强CT和64排螺旋CT检查术前确诊.叶外型肺隔离症行隔离肺切除术,叶内型肺隔离症行肺叶切除术；共行左肺下叶切除术21例,右肺下叶切除术5例,右隔离肺切除术1例.结果 27例患者术后恢复良好,无围手术期死亡,无并发症发生,均痊愈出院,出院后随访均未复发.结论肺隔离症诊断主要依赖于胸部X线片、CT、MRI、CTA,一经确诊或拟诊,手术治疗效果良好.
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