上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2013, Vol. 33 ›› Issue (6): 894-.doi: 10.3969/j.issn.1674-8115.2013.06.038

• 短篇论著 • 上一篇    

介入治疗肺隔离症6例临床分析

王 承，潘 欣，陆 静，吴卫华，方唯一   

  1. 上海交通大学附属胸科医院心内科， 上海 200030
  • 出版日期:2013-06-28 发布日期:2013-06-28
  • 通讯作者: 方唯一, 电子信箱: fwychest@163.com。
  • 作者简介:王承（1978—）， 男， 主治医师， 硕士; 电子信箱: wangcheng19781021@126.com。

Clinical analysis of interventional therapy for pulmonary sequestration in 6 patients

WANG Cheng, PAN Xin, LU Jing, WU Wei-hua, FANG Wei-yi   

  1. Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2013-06-28 Published:2013-06-28

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摘要：

目的 探讨介入治疗肺隔离症的可行性、有效性及安全性。方法 回顾性分析接受介入治疗的6例肺隔离症患者的临床资料。介入治疗过程中先行肺动脉造影术和主动脉造影术，对于单支迷走供血动脉且近端血管直径＜12 mm的病例选用Amplatzer Plug进行血管栓塞；对于多支迷走供血动脉和（或）近端血管直径＞12 mm的病例行覆膜支架腔内隔绝术。结果 肺动脉造影术显示，6例患者均显示左下肺动脉缺如。主动脉造影共发现异常的迷走供血动脉8支，均起于降主动脉。6例患者介入治疗均获成功，术后随访1～5年，患者咳血症状均消失，胸部增强CT显示左下隔离肺缺血性萎缩或消失。结论 介入治疗肺隔离症安全有效。

关键词: 肺隔离症, 肺动脉造影术, 主动脉造影术

Abstract:

Objective To investigate the feasibility, efficacy and safety of interventional therapy for pulmonary sequestration. Methods The clinical data of 6 patients with pulmonary sequestration undergoing interventional therapy were retrospectively analysed. Pulmonary arteriography and aortography were performed during the treatment. Embolization using Amplatzer Plug was conducted in patients with single aberrant artery and diameter of proximal blood vessel < 12 mm, and membrane tectoria stent sequestration was carried out in those with multiple aberrant arteries and/or diameter of proximal blood vessel > 12 mm. Results Pulmonary arteriography revealed the absence of bottom left pulmonary artery in all the 6 patients. Aortography demonstrated 8 aberrant arteries originating from descending aorta. The interventional therapy was successfully performed in all the 6 patients. Patients were followed up for 1 to 5 years, the symptom of haemoptysis disappeared, and chest enhancement CT indicated that the bottom left lung ischemically shrinked or vanished. Conclusion Interventional therapy is safe and effective for pulmonary sequestration.

Key words: pulmonary sequestration, pulmonary arteriography, aortography