支气管内型错构瘤1例并文献复习

发布时间：2018-05-11 04:10

本文选题：错构瘤 + 支气管内型错构瘤　；参考：《重庆医科大学学报》2017年01期

【摘要】：目的:提高临床医生对支气管内型错构瘤(endobronchial hamartoma,EH)的认识。方法:通过对1例EH患者诊治经过的分析,结合文献资料阐述该病的临床表现、诊断方法、治疗及预后。结果:1患者男,80岁,胸部CT发现右主支气管新生物,临床误诊为肺癌,组织病理诊断:(右主支气管)错构瘤。2检索国内外报道的有完整病例资料的EH患者44例,男26例,女18例(男女比例约1.4∶1),发病年龄31~77岁[平均年龄(56.6±11.3)岁)];发病部位:气管4例,右侧支气管22例,左侧支气管18例;主要临床表现:咳嗽、咳痰、呼吸困难、发热、咯血、胸部不适等;治疗方式:2004年之前是外科手术切除,2004年以后经支气管镜介入治疗成为主要治疗方式。结论:EH是一种少见良性肿瘤,易误诊,胸部CT和支气管镜检查是重要的检查手段,经支气管镜介入治疗已基本取代传统手术切除成为主要治疗方式。
[Abstract]:Objective: to improve the understanding of endobronchial hamartoma (EH) of endobronchial hamartoma (EH) by clinicians. Methods: through the analysis of the diagnosis and treatment of 1 cases of EH, the clinical manifestations, diagnostic methods, treatment and prognosis of the disease were explained. Results: 1 men, 80 years old, chest CT found the right main bronchi, misdiagnosed as lung cancer Histopathological diagnosis: (right main bronchus) hamartoma.2 retrieves 44 EH patients with complete case data reported at home and abroad, male 26, female 18 (male and female ratio about 1.4: 1), age 31~77 years [average age (56.6 + 11.3) years)]; the site of the disease: 4 trachea, right bronchus 22, and 18 cases of left bronchus; main clinical manifestations: cough, cough, cough Phlegm, dyspnea, fever, hemoptysis, chest discomfort, and so on. Treatment: surgical excision before 2004 and after 2004 by bronchoscopy intervention. Conclusion: EH is a rare benign tumor, easy to be misdiagnosed, chest CT and bronchoscopy are important examination methods, bronchoscopic interventional therapy has been basic. The replacement of traditional surgical excision is the main treatment method.

【作者单位】：重庆医科大学附属第一医院呼吸内科;
【分类号】：R734.1

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