以多发囊肿为征象的叶内型肺隔离征1例并文献复习

Intralobar pulmonary sequestration characterized by multiple cysts:A case report with literature review

摘要: 目的探讨叶内型肺隔离症(intralobar pulmonary sequestration,IPS)的临床特征、诊断和治疗。方法报道叶内型肺隔离症1例,并进行文献复习。结果患者女性,34岁,平素常有咳嗽、咳痰症状,增强CT示多发囊性密度影,无强化,周边不规则,囊腔壁可见异常受压迂曲血管影,血管来自腹腔动脉干,诊断右下肺叶内型肺隔离症。结论以多发囊肿为表现的叶内型肺隔离症临床上十分少见,极易误诊。增强CT+三维重建是诊断此病的首选方法,如能早期诊断、早期治疗并预防感染等并发症,预后较好。

Abstract: Objective To study the clinical features,diagnosis and treatment of intralobar pulmonary sequestration（IPS）. Methods One case of IPS was reported with its related literature reviewed. Results The patient was a 34-year-old female.Her main symptoms were cough and sputum.Enhanced CT showed a multiple cystic-density shadow,cyst wall-compressed abnormal vessels,but no enhancement and peripheral irregularity,thus IPS was diagnosed. Conclusion IPS with multi-cysts is a rare disease,which is easily misdiagnosed in clinical practice.Enhanced CT and 3-dimensional reconstruction are the first choice of its diagnosis.Its early diagnosis and treatment can prevent complications such as infection and can thus achieve a good prognosis.