CAJ | 학술논문

支气管囊肿是一种胚胎时期气管、支气管树或肺芽发育异常所致的先天性支气管囊性变,属于先天性少见病,病程长短不一,进展缓慢.由于表现呈多样性,临床上漏诊率及误诊率颇高.本文主要分析支气管囊肿的临床表现、影像学表现、诊断和治疗.支气管囊肿最常见呼吸道症状为轻微胸痛、咳嗽及呼吸困难,部分患者可无症状.影像学多表现为纵隔或肺内孤立的、边缘光整、密度均匀薄壁水样囊性肿块,易误诊为肺结核、肺癌、肺大疱、肺脓肿等.组织病理学镜下见囊壁内衬假复层纤毛柱状上皮,囊壁含成熟软骨、支气管平滑肌、黏液或浆液腺体细胞等为确诊依据.
지기관낭종시일충배태시기기관、지기관수혹폐아발육이상소치적선천성지기관낭성변,속우선천성소견병,병정장단불일,진전완만.유우표현정다양성,림상상루진솔급오진솔파고.본문주요분석지기관낭종적림상표현、영상학표현、진단화치료.지기관낭종최상견호흡도증상위경미흉통、해수급호흡곤난,부분환자가무증상.영상학다표현위종격혹폐내고립적、변연광정、밀도균균박벽수양낭성종괴,역오진위폐결핵、폐암、폐대포、폐농종등.조직병이학경하견낭벽내츤가복층섬모주상상피,낭벽함성숙연골、지기관평활기、점액혹장액선체세포등위학진의거.
Bronchogenic cyst is a rare congenital disease,which is caused by the anormogenesis of tracheal,bronchial tree or lung abnormal in embryonic period.The age of onset is different,progress is slow.Since the diversity in expression,the missed diagnosis and misdiagnosis rate are high.This article analyzes the clinical manifestations,imaging findings,diagnosis and treatment of bronchogenic cyst.Chest pain,cough and dyspnea are the most common clinical symptoms.Some of patients are asymptomatic by accidental medical discovery.Most of the cysts present as homogeneous water-density shadows on standard chest radiographs or computed tomography,it is easily misdiagnosed as tuberculosis,lung cancer,lung abscesses,pulmonary bulla,etc.Bronchogenic cyst is confirmed by pathology with bronchial epithelium,smooth muscle,cartilage.