PHỔI BIỆT LẬP: KINH NGHIỆM CHẨN ĐOÁN VÀ ĐIỀU TRỊ TẠI BỆNH VIỆN PHỔI TRUNG ƯƠNG

Abstract

46 cases with pulmonary sequestration were performed from 10/2009 to 07/2016 at National Lung Hospital : Sex ratio: male/female 18/28. Mean age: 33,3 ± 12,6. 28 cases with history of lung disease treatment. Image in Xray location of pulmonary sequestration: right /lef 18 /28 and all of them were in low lobe at both side with image as Homogeneous shadow (27,27%), inhomogeneous shadow (31,82%), Fluid level 20,45%, bulae 18,18%, multibulae 2,27%. Image in CT- Scanner: tumer 13,04%, Fluid cyst 28,26%, inhomogeneous shadow 21,74%, Fluid level 15,21%, bulae 17,39%, multibulae 4,35%. Blood supply were aorta thoracic descendens (27/46 cases) and aorta abdominalis (19/46 case). Correct preoperative diagnosis was in 39/46 cases. Intrapulmonary sequestration’s treatment (40 cases) composed: lobectomy 95% cases, atypic lobectomy 5%. Extrapulmonary sequestration’s treatment 6 cases composed: sequestration’s resection: 2/6 cases, sequestration’s resection and atypic lobectomy: 3/6 cases sequestration’s resection and lobectomy: 1/6 cases. Mean postoperative hospital stay was 16,2 ± 12,84 days (Whithout a case oesophageal fistula).