气管内错构瘤经纤支镜下摘除术2例报告及文献复习

Complete resection of endotracheal hamartoma by bronchoscopy:Report of 2 cases

目的:探讨气管内错构瘤的临床表现、诊断及治疗,以提高对该病的认识和诊治水平。方法:回顾我院病理确诊2例气管内错构瘤病例,并结合国内文献,对其进行汇总分析。结果:气管内错构瘤男女发病率为1.5:1,发病年龄2～65岁(平均39.8岁),主要临床表现咳嗽、气喘、呼吸困难、咳痰及发热等;胸部CT表现:气管内壁可见类圆形肿块影,表面光滑,密度均匀;纤维支气管镜检查均可见息肉样肿物,经纤维支气管镜行治疗,疗效确切。结论:气管内错构瘤临床表现无特异性,有时术前确诊困难,纤维支气管镜介入诊治对其疗效确切,具有创伤程度轻、术后并发症少、恢复快和费用低的优点。

Objective：To investigate the clinical features,diagnosis and treatment of endotrachea hamartomas,so as to increase the knowledge about endotrachea hamartomas.Method：2 cases of endotracheal hamartoma confirmed by pathology in our hospital were analyzed retrospectively,and search for 10 cases in internal periodicals.Result：Endotracheal hamartoma of male to female incidence rate is 1.5：1 and the age of onset is 2 to 65 years（mean39.8 years）.The main manifestation of edotracheal hamartoma was cough,wheezing,dyspnea,expectoration,hemoptysis and fever.Chest CT performance：tracheal wall can be seen round-like mass with smooth surface and homogeneous density.Polypoid tumor were seen by fiberoptic bronchoscopes.Fiberoptic bronchoscopes is an effective way for endotracheal hamartoma.Conclusion：Endotracheal hamartoma has non-specific clinical features,preoperative diagnosis is sometimes difficult to diagnose.Treatment of bronchofiberoscope has curative effect,with less trauma,fewer postoperative complications,fast recovery and low cost advantages.