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气管内错构瘤经纤支镜下摘除术2例报告及文献复习

Complete resection of endotracheal hamartoma by bronchoscopy:Report of 2 cases

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【作者】 万珙善齐栩黄茂王继旺程宁

【Author】 WAN Gong-shan1,QI Xu2,HUANG Mao2,WANG Ji-wang2,CHENG Ning2(1 Department of Respirology,People’s Hospital of Ganyu County,Ganyu,Jiangsu 222100,China;2 Department of Respirology,People’s Hospital of Jiangsu Province,Nanjing,Jiangsu 210029,China)

【机构】 江苏省赣榆县人民医院呼吸科江苏省人民医院呼吸科

【摘要】 目的:探讨气管内错构瘤的临床表现、诊断及治疗,以提高对该病的认识和诊治水平。方法:回顾我院病理确诊2例气管内错构瘤病例,并结合国内文献,对其进行汇总分析。结果:气管内错构瘤男女发病率为1.5:1,发病年龄2~65岁(平均39.8岁),主要临床表现咳嗽、气喘、呼吸困难、咳痰及发热等;胸部CT表现:气管内壁可见类圆形肿块影,表面光滑,密度均匀;纤维支气管镜检查均可见息肉样肿物,经纤维支气管镜行治疗,疗效确切。结论:气管内错构瘤临床表现无特异性,有时术前确诊困难,纤维支气管镜介入诊治对其疗效确切,具有创伤程度轻、术后并发症少、恢复快和费用低的优点。

【Abstract】 Objective:To investigate the clinical features,diagnosis and treatment of endotrachea hamartomas,so as to increase the knowledge about endotrachea hamartomas.Method:2 cases of endotracheal hamartoma confirmed by pathology in our hospital were analyzed retrospectively,and search for 10 cases in internal periodicals.Result:Endotracheal hamartoma of male to female incidence rate is 1.5:1 and the age of onset is 2 to 65 years(mean39.8 years).The main manifestation of edotracheal hamartoma was cough,wheezing,dyspnea,expectoration,hemoptysis and fever.Chest CT performance:tracheal wall can be seen round-like mass with smooth surface and homogeneous density.Polypoid tumor were seen by fiberoptic bronchoscopes.Fiberoptic bronchoscopes is an effective way for endotracheal hamartoma.Conclusion:Endotracheal hamartoma has non-specific clinical features,preoperative diagnosis is sometimes difficult to diagnose.Treatment of bronchofiberoscope has curative effect,with less trauma,fewer postoperative complications,fast recovery and low cost advantages.

  • 【文献出处】 现代生物医学进展 ,Progress in Modern Biomedicine , 编辑部邮箱 ,2010年07期
  • 【分类号】R734
  • 【被引频次】2
  • 【下载频次】107
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