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重庆医科大学附属第一医院呼吸内科
纸质出版日期:2017,
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[1]江瑾玥,韩晓黎,郭述良.支气管内型错构瘤1例并文献复习[J].重庆医科大学学报,2017,42(01):70-73.
Jiang Jinyue, Han Xiaoli, Guo Shuliang. Endobronchial hamartoma:one case report and literature review[J]. Journal of Chongqing Medical University, 2017,42(1):70-73.
[1]江瑾玥,韩晓黎,郭述良.支气管内型错构瘤1例并文献复习[J].重庆医科大学学报,2017,42(01):70-73. DOI: 10.13406/j.cnki.cyxb.001085.
Jiang Jinyue, Han Xiaoli, Guo Shuliang. Endobronchial hamartoma:one case report and literature review[J]. Journal of Chongqing Medical University, 2017,42(1):70-73. DOI: 10.13406/j.cnki.cyxb.001085.
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
7
7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。
Objective:To improve the understanding of clinicians on endobronchial hamartoma(EH). Methods:The diagnosis and treatment course of one case of EH was reported and analyzed. The clinical manifestations
diagnosis
treatment and prognosis was discussed through literature review. Results:1A tumor was found in the right main bronchus of an eighty-year-old man and he was misdiagnosed as lung cancer
but pathological result showed that it was EH. 2Forty-four cases of EH with complete clinical data were reported by published articles
involving 26 males and 18 females(F ∶M =1.4 ∶1)
aging from 31 to 77 years old
averaged(56.6 ±11.3) years old. Location of the lesion:4 cases in the trachea
22 cases on the right bronchus and 18 cases on the left bronchus. Before 2004
surgical resection was the only way to treat EH. While bronchoscopy interventional treatment has become the main method since 2004.Conclusion:EH is a rare benign tumor with a high misdiagnosis rate. Chest CT and bronchoscopy are both important examinations. It can be cured by bronchoscopy interventional treatment which has replaced traditional surgery.
错构瘤支气管内型错构瘤支气管镜检查介入治疗
hamartomaendobronchial hamartoma(EH)bronchoscopyinterventional treatment
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