Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2008
[Bronchopulmonary sequestration: review of 27 cases].
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Zhang Xiao-Qin, Zhou Jian-Ying
Аннотация
OBJECTIVE: To explore the clinical manifestations, the diagnosis and the treatment of bronchopulmonary sequestration.
METHODS: Twenty-seven cases of bronchopulmonary sequestration confirmed by histopathological studies were analyzed and related literatures were reviewed.
RESULTS: Among the 27 cases of bronchopulmonary sequestration, 22 were intralobar type, and 5 were extralobar type. All the patients with intralobar type had symptoms including cough, expectoration, fever, hemoptysis, but the 5 cases of extralobar type had no symptoms. Twenty cases were confirmed before operation by chest radiography, plain CT scan, enhanced CT scan, CT angiography, MR angiography, or selective arteriography. Chest operation was performed in all the cases, with successfully recovery after the operation, and no relapse was found.
CONCLUSIONS: The clinical manifestations of bronchopulmonary sequestration are nonspecific. Selective arteriography, although invasive, plays a pivotal role in the diagnosis. Non-invasive angiography including enhanced CT scan, CT angiography, and MR angiography have become important supplements to selective arteriography. Surgery is the optimal treatment, while the effect of interventional therapy needs further study.
METHODS: Twenty-seven cases of bronchopulmonary sequestration confirmed by histopathological studies were analyzed and related literatures were reviewed.
RESULTS: Among the 27 cases of bronchopulmonary sequestration, 22 were intralobar type, and 5 were extralobar type. All the patients with intralobar type had symptoms including cough, expectoration, fever, hemoptysis, but the 5 cases of extralobar type had no symptoms. Twenty cases were confirmed before operation by chest radiography, plain CT scan, enhanced CT scan, CT angiography, MR angiography, or selective arteriography. Chest operation was performed in all the cases, with successfully recovery after the operation, and no relapse was found.
CONCLUSIONS: The clinical manifestations of bronchopulmonary sequestration are nonspecific. Selective arteriography, although invasive, plays a pivotal role in the diagnosis. Non-invasive angiography including enhanced CT scan, CT angiography, and MR angiography have become important supplements to selective arteriography. Surgery is the optimal treatment, while the effect of interventional therapy needs further study.