摘要
目的总结常见良性中央气道病变的特点,提高其正确诊断率。方法对该院34例良性中央气道病变患者的临床、影像及支气管镜镜下表现的特点进行分析。结果 34例患者中气管支气管内膜结核21例,复发性多软骨炎9例,气管支气管淀粉样变性2例,结节病2例。各病因的呼吸道症状缺乏特异性,但复发性多软骨炎肺外表现突出。在胸部CT上病变累及部位、气道狭窄情况、气道壁改变和气道外胸部受累情况各具特点。支气管镜可进一步明确病变的部位、范围及性质,还可发现一些胸部CT不能显示的病变。结论良性中央气道病变的诊断需从临床、影像、支气管镜三方面系统评估,注意不同病因的特点,从而提高诊断率。
【Objective】 To summarize the characteristics of the non-malignant central airway diseases.【Methods】 To analyze the clinical characteristics,radiological features and brochoscopic manifestations of 34 non-malignant central airway cases administrated in our hospital.【Results】 In all 34 cases,there were 21 endotracheal/endobronchial tuberculosis,9 relapsing polychondritis,2 amyloidosis and 2 sarcoidosis.The respiratory symptoms were nonspecific but the relapsing polychondritis presented with extra-pulmonary symptoms.The CT can indicate the etiology by the different sites,extension,stenosis,the airway changes and the changes besides the airway in the chest.The bronchoscope can provide further information of lesions in details and find out the minor lesions not shown in CT.【Conclusions】 Systemic evaluation of clinical-radiological-bronchoscopic characteristics of the central airway diseases is helpful to accurate etiologic diagnosis.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第3期237-241,共5页
China Journal of Endoscopy
