[Diagnosis and surgical treatment of pulmonary sequestration]

Zhonghua Yi Xue Za Zhi. 2007 Jun 19;87(23):1616-7.
[Article in Chinese]

Abstract

Objective: To investigate the classification, incidence, clinical characteristics, diagnosis and surgical treatment of pulmonary sequestration.

Methods: The clinical data of 23 patients with pulmonary sequestration, 13 males and 10 females, aged 39 (12 - 71), with a course of 3 days to 9 years, hospitalized during the period from May 1974 to November 2006, were reviewed retrospectively.

Results: The cases of sequestration were presents which were resected and confirmed by pathology in our department. The incident rate of pulmonary sequestration was 0.29% among the patients who underwent operation during that period. Nineteen (83%) of the 23 patients suffered from interloper pulmonary sequestration and 4 suffered from extralobar pulmonary sequestration. Eighteen of the 23 patients had recurrent pneumonia with the clinical manifestations of cough, fever, and hemoptysis. Fourteen cases got confirmed diagnosis before operation.

Conclusion: The diagnosis of pulmonary sequestration mainly depends on X-ray, CT and MRI. The sequestration should be removed whenever it is diagnosed.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bronchopulmonary Sequestration / diagnosis*
  • Bronchopulmonary Sequestration / diagnostic imaging
  • Bronchopulmonary Sequestration / surgery*
  • Child
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Radiography, Thoracic
  • Retrospective Studies
  • Tomography, X-Ray Computed