目的 提高对支气管内错构瘤的临床认识。 方法 报道 2014 年 6 月诊断的 1 例支气管内错构瘤，并结合临床资料进行分析。 结果 支气管内错构瘤主要表现为呼吸困难，也可有咳嗽、咯血或阻塞性肺不张，易误诊为哮喘。胸部 CT、支气管镜检查是诊断气管内错构瘤的主要手段，组织病理学检查结果是确诊依据。治疗可根据肿瘤部位、大小以及患者状态选择手术或气管镜下切除。 结论 对支气管舒张剂治疗效果不好的呼吸困难患者应注意气管内肿瘤的可能，气管镜下冷冻切除是治疗气管内错构瘤的一种有效方法。
Citation：
张凌云, 高宝安, 向光明, 尹冲. . Chinese Journal of Respiratory and Critical Care Medicine, 2017, 16(1): 78-80. doi: 10.7507/1671-6205.201607063
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Copyright © the editorial department of Chinese Journal of Respiratory and Critical Care Medicine of West China Medical Publisher. All rights reserved
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Yildirim BB, Karalezli A, Er M, et al. Endobronchial hamartoma. J Bronchology Interv Pulmonol, 2011, 18(4): 355-358.
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Zani-Kassar A, Ayadi-Kaddour A, Marghli A, et al. Clinical characteristics of resected bronchial hamartoma. Study of seven cases. Rev Mal Respir, 2011, 28(5): 647-653.
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Ferreira D, Almeida J, Parente B, et al.Complete resection of endobronchial hamartomas via bronchoscopic techniques, lectrosurgery by Argon plasma and laser. Rev Port Pneumol, 2007, 13(5): 711-719.
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王继旺, 黄茂, 查王健, 等. 经可弯曲支气管镜介入治疗管内型肺错构瘤疗效分析. 中华结核和呼吸杂志, 2013, 36(12): 963-967.
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Sim JK, Choi JH, Oh JY, et al. Two cases of diagnosis and removalof endobronchial hamartoma by cryotherapy via flexiblebronchoscopy. TubercRespir Dis (Seoul), 2014, 76(3): 141-145.
|
| 6. |
El-Kersh K, Perez RL, Gauhar U. A 63-year-old man with a chronic cough and an endobronchial lesion. Diagnosis: Endobronchial hamartoma. Chest, 2014, 145(4): 919-922.
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| 7. |
Schumann C, Hetzel J, Babiak AJ, et al. Cryoprobe biopsy increases the diagnostic yield in endobronchial tumor lesions. J Thorac Cardiovasc Surg, 2010, 140(2): 417-421.
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| 8. |
Kim SA, Um SW, Song JU, et al. Bronchoscopic features and bronchoscopic intervention for endobronchial hamartoma. Respirology, 2010, 15(1): 150-154.
|
| 9. |
张杰, 党斌温, 郭伟, 等. 全麻下经喉罩对气管狭窄实施腔内介入治疗二例经验介绍.中华内科杂志, 2006, 45(11): 934-936.
|
- 1. Yildirim BB, Karalezli A, Er M, et al. Endobronchial hamartoma. J Bronchology Interv Pulmonol, 2011, 18(4): 355-358.
- 2. Zani-Kassar A, Ayadi-Kaddour A, Marghli A, et al. Clinical characteristics of resected bronchial hamartoma. Study of seven cases. Rev Mal Respir, 2011, 28(5): 647-653.
- 3. Ferreira D, Almeida J, Parente B, et al.Complete resection of endobronchial hamartomas via bronchoscopic techniques, lectrosurgery by Argon plasma and laser. Rev Port Pneumol, 2007, 13(5): 711-719.
- 4. 王继旺, 黄茂, 查王健, 等. 经可弯曲支气管镜介入治疗管内型肺错构瘤疗效分析. 中华结核和呼吸杂志, 2013, 36(12): 963-967.
- 5. Sim JK, Choi JH, Oh JY, et al. Two cases of diagnosis and removalof endobronchial hamartoma by cryotherapy via flexiblebronchoscopy. TubercRespir Dis (Seoul), 2014, 76(3): 141-145.
- 6. El-Kersh K, Perez RL, Gauhar U. A 63-year-old man with a chronic cough and an endobronchial lesion. Diagnosis: Endobronchial hamartoma. Chest, 2014, 145(4): 919-922.
- 7. Schumann C, Hetzel J, Babiak AJ, et al. Cryoprobe biopsy increases the diagnostic yield in endobronchial tumor lesions. J Thorac Cardiovasc Surg, 2010, 140(2): 417-421.
- 8. Kim SA, Um SW, Song JU, et al. Bronchoscopic features and bronchoscopic intervention for endobronchial hamartoma. Respirology, 2010, 15(1): 150-154.
- 9. 张杰, 党斌温, 郭伟, 等. 全麻下经喉罩对气管狭窄实施腔内介入治疗二例经验介绍.中华内科杂志, 2006, 45(11): 934-936.
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