| 摘要: |
| ［摘要］ 目的 总结肺动静脉瘘的诊断和外科治疗的经验。方法 对13例肺动静脉瘘病例资料进行回顾性分析。结果 13例中11例经胸部螺旋CT扫描及血管三维重建确诊，2例经肺动脉造影确诊；手术治疗12例，肺叶切除10例，肺楔形切除2例，手术后症状消失或改善，临床治疗效果满意；1例弥漫型患者放弃治疗。结论 螺旋CT扫描及血管三维重建是肺动静脉瘘目前最常用的诊断手段，对于局限性病变外科手术有良好的疗效，手术方式应根据病情灵活掌握。 |
| 关键词: 肺动静脉瘘 诊断 外科治疗 |
| DOI：10.3969/j.issn.1674-3806.2010.10.17 |
| 分类号:R 543.2 |
| 基金项目: |
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| Surgical treatment for pulmonary arteriovenous fistula |
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LUO Yu-zhong, HE Wei, QIN Jia-jin, et al.
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Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To summarize the experience in diagnosis and surgical treatment of pulmonary arteriovenous fistula.Methods Clinical data of 13 patients with pulmonary arteriovenous fistula were retrospectively analyzed.Results Eleven patients were diagnosed by chest spiral CT scan and vascular three-dimensional reconstruction, two patients were diagnosed by pulmonary angiography. Twelve patients received surgical operation successfully, lobectomy in 10 patients, pulmonary wedge resections in 2 patients. Symptoms disappeared or improved after operation, and clinical results were satisfactory. One patient with diffuse lesion gave up treatment. Conclusion Spiral CT scanning and vascular three-dimensional reconstruction are the most common diagnostic tools for pulmonary arteriovenous fistula.Surgery for limited pulmonary arteriovenous fistula has a good effect, and surgical procedure should be flexibly used on the basis of disease conditions. |
| Key words: Pulmonary arteriovenous fistula Diagnosis Surgical treatment |
