摘要
目的探讨支气管内型错构瘤的临床诊断及治疗,提高对支气管内型错构瘤的临床认识。方法收集本科室2009年至2010年问经电子支气管镜镜检及病理确诊的支气管内型错构瘤2例,分析其临床特点、影像学表现、电子支气管镜结果和病理学特征及治疗,并复习文献。结果支气管内型错构瘤发病年龄以中老年为主,临床上以胸闷或反复发生肺炎为主要表现,影像学表现可见气道内软组织高密度影,电子支气管镜联合病理可及时确诊,经电子支气管镜介入治疗可达到满意的治疗效果。结论支气管内型错构瘤临床症状不典型,应早期行电子支气管镜检查明确病理并行支气管镜下的介入治疗。
Objective To explore diagnosis and treatment of endobronchial hamartoma and improve clinical understanding. Methods Two cases with endobronctlial hamartoma from 2009 to 2010 were collected. Its clinical and radiologic features, bronchoscopy, histological findings and treatment were discussed. The related literatures were also reviewed. Results Most patients with endobronchial hamartoma were elderly and presented with chest distress or recurrent respiratory infection. CT scan showed soft tissue with high density in airway. Endobronchial hamartoma could be diagnosed by electronic bronchoscope and histopathology and successfully resected by transbronchial endoscopic surgery. Conclusions The clinical symptoms of endobronchial harrlartoma are not typical, early bronchoscopy and biopsy are necessary and bronehoscopy intervention is satisfactory.
出处
《国际呼吸杂志》
2011年第18期1366-1369,共4页
International Journal of Respiration
关键词
支气管内型错构瘤
电子支气管镜
病理
Endobronchial hamartoma
Electronic bronchoscope
Histopathology