CAJ | 학술논문

目的探讨支气管内型错构瘤的临床诊断及治疗，提高对支气管内型错构瘤的临床认识。方法收集本科室2009年至2010年间经电子支气管镜镜检及病理确诊的支气管内型错构瘤2例，分析其临床特点、影像学表现、电子支气管镜结果和病理学特征及治疗，并复习文献。结果支气管内型错构瘤发病年龄以中老年为主，临床上以胸闷或反复发生肺炎为主要表现，影像学表现可见气道内软组织高密度影，电子支气管镜联合病理可及时确诊，经电子支气管镜介入治疗可达到满意的治疗效果。结论支气管内型错构瘤临床症状不典型，应早期行电子支气管镜检查明确病理并行支气管镜下的介入治疗。
목적탐토지기관내형착구류적림상진단급치료，제고대지기관내형착구류적림상인식。방법수집본과실2009년지2010년간경전자지기관경경검급병리학진적지기관내형착구류2례，분석기림상특점、영상학표현、전자지기관경결과화병이학특정급치료，병복습문헌。결과 지기관내형착구류발병년령이중노년위주，림상상이흉민혹반복발생폐염위주요표현，영상학표현가견기도내연조직고밀도영，전자지기관경연합병리가급시학진，경전자지기관경개입치료가체도만의적치료효과。결론지기관내형착구류림상증상불전형，응조기행전자지기관경검사명학병리병행지기관경하적개입치료。
Objective To explore diagnosis and treatment of endobronchial hamartoma and improve clinical understanding. Methods Two cases with endobronohial hamartoma from 2009 to 2010 were collected. Its clinical and radiologic features, bronchoscopy, histological findings and treatment were discussed. The related literatures were also reviewed. Results Most patients with endobronchial hamartoma were elderly and presented with chest distress or recurrent respiratory infection. CT scan showed soft tissue with high density in airway. Endobronchial hamartoma could be diagnosed by electronic bronchoscope and histopathology and successfully resected by transbronchial endoscopic surgery. Conclusions The clinical symptoms of endobronchial hamartoma are not typical, early bronchoscopy and biopsy are necessary and bronchoscopy intervention is satisfactory.