支气管镜下切除管内型错构瘤1例

Endobronchial hamartoma removed under bronchoscope in one case

目的对管内型错构瘤经支气管镜治疗的优点进行报道,以减少病人住院时间。方法对收治的管内型错构瘤1例临床资料进行回顾性分析。结果本例病人为男性,59岁,主因“胸闷气短2月”入院;肺CT提示左主支气管内肿物可能,左肺上叶炎性病变。支气管镜检查:左主支气管肿物,良性可能性大。入院后行全麻下气管插管经气管镜肿物切术,分别予以高频圈套器套扎及高频电刀清理创面,术后病理为错构瘤。出院后2月复查肺CT提示左主支气管通畅,未见明显复发征象。结论原发管内型错构瘤较少见,临床症状缺乏特异性,气管镜检查是必要的,经气管镜下切除是一种有效治疗方法。

Objective To report the advantages of endovascular hamartoma treatment by bronchoscope so as to shorten the hospital stay.Methods Clinical data of one patient with endobronchial hamartoma were respectively analyzed.Results A 59⁃year⁃old male was admitted for chest distress and shortness of breath 2 months.The lung CT showed that a nodule in the left main bronchus and an inflammatory affection in the left upper lobe.Bronchoscopy showed that it was a benign tumor in the left main bronchus.After ad⁃mission,tumor resection via bronchoscopy under general anesthesia was performed,and the wound was ligated by high frequency snare and cleaned up by endotherm knife.The hamartoma was confirmed by postoperative pathology.Two months later,the lung CT showed that the left main bronchus was clear and no recurrence.Conclusion Primary endotracheal hamartoma is rare,and its clini⁃cal symptoms lack specificity.Bronchoscopy is necessary,and it is an effective method to remove the endobronchial hamartoma via bronchoscope.