CAJ | 학술논문

目的了解支气管内脂肪瘤临床特征.方法复习国内发表的有病理证据的支气管内脂肪瘤的病例,结合近期北京医院收治的2例支气管内脂肪瘤病例进行分析.结果 40例患者中,男31例,女9例,平均年龄(53±11)岁,其中37例瘤体位于气管、主支气管及叶支气管.主要症状包括咳嗽、胸闷、发热、咯血等.30例胸部CT可见脂肪或软组织密度气道内肿物影,仅9例经气管镜活检诊断.32例患者最终选择外科手术治疗,7例行气管镜介入治疗.结论胸部CT和气管镜介入检查均为诊断支气管内脂肪瘤的有效手段,支气管内脂肪瘤首选经气管镜进行气管、支气管腔内治疗.
목적 료해지기관내지방류림상특정.방법 복습국내발표적유병리증거적지기관내지방류적병례,결합근기북경의원수치적2례지기관내지방류병례진행분석.결과 40례환자중,남31례,녀9례,평균년령(53±11)세,기중37례류체위우기관、주지기관급협지기관.주요증상포괄해수、흉민、발열、각혈등.30례흉부CT가견지방혹연조직밀도기도내종물영,부9례경기관경활검진단.32례환자최종선택외과수술치료,7례행기관경개입치료.결론 흉부CT화기관경개입검사균위진단지기관내지방류적유효수단,지기관내지방류수선경기관경진행기관、지기관강내치료.
Objective To describe the epidemiology of endobronchial lipoma and to propose appropriate diagnostic and therapeutic policies for this tumor.Methods Two cases of endobronchial lipoma were presented and 38 cases reported in literatures published in mainland China were reviewed.Results Thirty-one male and 9 female patients were included,with a mean age of ( 53 ± 11 ) years.The overwhelming majority of the tumors (n =37) were found in the trachea,left or right main bronchi and lobular bronchi.The main symptoms included cough,dyspnea,fever and hemoptysis. Chest CT showed fat or soft tissue density endobronchial masses in 75％ ( 21/28 ) cases. Eight patients ( 22.2％ ) were diagnosed by histological study of the transbronchial biopsy specimen.Thirty-two patients underwent surgical resection.Bronchoscopic resection was carried out in 7 cases.Conclusion CT and bronchoscope are highly useful diagnostic tools for endobronchial lipoma.Bronchoscopic resection should be considered as the first choice of treatment for endobronchial lipoma.