Lungensequestrationen bei Kindern
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Die Lungensequestration ist eine seltene bronchopulmonale Missbildung.Ziel: Die klinisch-biologischen Aspekte und die Behandlung der Lungensequestration zu präzisieren. Material und Methoden: Wir haben eine deskriptive retrospektive Studie von 16 Beobachtungen von Lungensequestrationen durchgeführt, die in der Abteilung für Kinderchirurgie des Krankenhauses Fattouma Bourguiba in Monastir behandelt wurden.Ergebnisse: Unsere Serie umfasste 7 Jungen und 9 Mädchen. Das Durchschnittsalter betrug 30 Monate. Die antenatale Diagnose wurde in 8 Fällen gestellt. Das klinische Bild wurde in 13 Fällen von einer respiratorischen Symptomatik dominiert. In den restlichen drei Fällen war die Entdeckung zufällig intraoperativ. Durch bildgebende Verfahren konnte die Diagnose bei 7 Patienten gestellt werden. Alle Kinder wurden operiert. Bei 8 Kindern wurde eine Thorakoskopie durchgeführt, bei 3 Patienten wurde eine Konversion vorgenommen. Bei extralobärer Sequestrierung wurde eine Sequestrektomie durchgeführt, bei intralobärer Sequestrierung und bei Hybridformen eine Lobektomie. Die Nachsorge war bei allen Patienten günstig.Fazit: Die Lungensequestration kann verschiedene Formen annehmen, die manchmal zu Verwirrung führen können.
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