中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
29期
48-50
,共3页
支气管镜%气道发育畸形%病因诊断
支氣管鏡%氣道髮育畸形%病因診斷
지기관경%기도발육기형%병인진단
Fiberoptic bronchoscopy%Airway anomaly%Etiological diagnosis
目的：探讨纤维支气管镜(纤支镜)在气道发育畸形中的作用价值及安全性。方法对我院儿科2011年6月~2013年12月期间的106例喉喘鸣伴呼吸困难、婴幼儿喘息、慢性咳嗽及反复呼吸道感染的婴幼儿行纤支镜检查，并将34例气道发育畸形患儿的检查结果及临床资料进行回顾性分析。结果106例患儿中发现气道发育畸形34例(32%)，其中喉部囊肿2例；会厌软骨软化5例；气管、支气管软化20例；气管、支气管狭窄3例；支气管起源异常并狭窄3例，气管食管瘘1例。结论纤支镜术对婴幼儿气道发育畸形的诊断发挥重要作用，能有效降低婴幼儿呼吸道疾病的漏诊和误诊，值得临床推广应用。
目的：探討纖維支氣管鏡(纖支鏡)在氣道髮育畸形中的作用價值及安全性。方法對我院兒科2011年6月~2013年12月期間的106例喉喘鳴伴呼吸睏難、嬰幼兒喘息、慢性咳嗽及反複呼吸道感染的嬰幼兒行纖支鏡檢查，併將34例氣道髮育畸形患兒的檢查結果及臨床資料進行迴顧性分析。結果106例患兒中髮現氣道髮育畸形34例(32%)，其中喉部囊腫2例；會厭軟骨軟化5例；氣管、支氣管軟化20例；氣管、支氣管狹窄3例；支氣管起源異常併狹窄3例，氣管食管瘺1例。結論纖支鏡術對嬰幼兒氣道髮育畸形的診斷髮揮重要作用，能有效降低嬰幼兒呼吸道疾病的漏診和誤診，值得臨床推廣應用。
목적：탐토섬유지기관경(섬지경)재기도발육기형중적작용개치급안전성。방법대아원인과2011년6월~2013년12월기간적106례후천명반호흡곤난、영유인천식、만성해수급반복호흡도감염적영유인행섬지경검사，병장34례기도발육기형환인적검사결과급림상자료진행회고성분석。결과106례환인중발현기도발육기형34례(32%)，기중후부낭종2례；회염연골연화5례；기관、지기관연화20례；기관、지기관협착3례；지기관기원이상병협착3례，기관식관루1례。결론섬지경술대영유인기도발육기형적진단발휘중요작용，능유효강저영유인호흡도질병적루진화오진，치득림상추엄응용。
Objective To observe the diagnostic value and the safety of fiberoptic bronchoscopy in the children with airway malformations. Methods The test results and clinical data of 106 cases of bronchoscopy infants of our hospital from June 2011 to December 2013 were retrospectively analyzed. And the results and clinical date of 34 cases of chil-dren with airway malformations of the inspection were restrospectively analyzed. Results Of all 106 cases, there were 34 cases with airway malformations(32%),including 2 cases with laryngeal cyst,5 cases with epiglottic cartilage softening,20 cases with tracheobronchomalacia, 3 cases with tracheobronchial, 3 cases with anomalous origin and stenosis of bronchus,l cases with tracheo-esophageal fistula. Conclusion The fiberoptic bronchoscopy plays an important role in diagnosis of children with airway malformations. It can degrade the rate of clinical misdiagnosis and missed diagnosis in the children with respiratory diseases and is worth to be widely implemented.
