李殿明, 李翠侠, 胡俊锋, 陈余清. 气管多发型鳞状细胞乳头状瘤1例并文献复习[J]. 蚌埠医科大学学报, 2010, 35(11): 1098-1100.
    引用本文: 李殿明, 李翠侠, 胡俊锋, 陈余清. 气管多发型鳞状细胞乳头状瘤1例并文献复习[J]. 蚌埠医科大学学报, 2010, 35(11): 1098-1100.
    LI Dian-ming, LI Cui-xia, HU Jun-feng, CHEN Yu-qing. Trachea multiple squamous papilloma: report of one case and literature review[J]. Journal of Bengbu Medical University, 2010, 35(11): 1098-1100.
    Citation: LI Dian-ming, LI Cui-xia, HU Jun-feng, CHEN Yu-qing. Trachea multiple squamous papilloma: report of one case and literature review[J]. Journal of Bengbu Medical University, 2010, 35(11): 1098-1100.

    气管多发型鳞状细胞乳头状瘤1例并文献复习

    Trachea multiple squamous papilloma: report of one case and literature review

    • 摘要: 目的:分析气管乳头状瘤的临床特点,以提高对气管乳头状瘤的认识,做到早诊断、早治疗。方法:对1例形态学表现气管多发性鳞状细胞乳头状瘤患者的病史、临床表现、胸部CT、纤维支气管(纤支镜)镜检查及病理并结合有关文献进行回顾性分析。结果:临床表现以进行性呼吸困难常见,反复咳嗽、咳痰(偶有黄脓痰),咯出"肉样物"次之,咯血也可见到;胸部CT、气管三维重建及纤支镜检查尤为重要。结论:成人气管乳头状瘤少见,早期容易误诊,行纤支镜检查可明确诊断;经支气管镜引导下介入治疗安全可靠。

       

      Abstract: Objective:To summarize and analyze the clinical features of the trachea squamous papilloma so as to arouse the awareness of the disease and make early diagnosis and treatment.Methods:The clinical data of one case of trachea multiple squamous papilloma (including the case history,clinical manifestations,chest CT photos,bronchoscope and pathology results) were analyzed retrospectively and reviewed with literature.Results:The characteristic symptoms of tracheal papilloma were dyspnea,coughing and expectorating "meat-like" material;hemoptysis could also be seen.The chest CT,three-dimensional reconstruction of the trachea and bronchoscopy were great value in diagnosis of the disease.Conclusions:As tracheal papilloma is rarely seen,it is easy to be misdiagnosed.Interventional therapy under electron-bronchoscope is safe and effective for treatment of the disease.

       

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