摘要
[目的]探讨气管支气管憩室的临床和影像学表现。[方法]报告2例气管支气管憩室病例,结合国内已经报告的32例病例资料,分析其临床及影像学表现。[结果]34例气管支气管憩室病例中,在性别和年龄上无特别趋向。年龄〈16岁5例（14.7%）,〉16岁29例（85.3%）。16例（47.0%）有咳嗽、咯痰等呼吸道感染表现,9例（26.5%）咯血,9例（26.5%）无明显呼吸道症状、体征。确诊方法：支气管镜确诊20例,CT确诊10例,支气管造影确诊3例,手术确诊1例。累及部位：气管16例（47.0%）,支气管16例（47.0%）,2例气管、支气管并发憩室（5.9%）。憩室数目：单发18例（52.9%）,多发16例（47.0%）。憩室最大直径约0.2-3.8 cm。[结论]气管支气管憩室发病率低,应提高对本病的认识,经多层螺旋CT及支气管镜多可明确诊断。
[Objective] To describe clinical and radiological manifestations of tracheobronchial diverticula.[Methods] Two patients with tracheobronchial diverticula were reported,and clinical and radiological features of tracheobronchial diverticula were analysed in these two cases and other 32 cases reported before.[Results] There was no tendency in age and sex for the incidence of the disease.Sixteen cases（47.0%） had cough,sputum and dyspnea,and 9 patients（26.5%） had hemoptysis.The diverticila were diagnosed by bronchoscopy（20 cases）,chest computer tomography（10 cases） and other method（4 cases）.The single diverticulum was detected in 18 cases（52.9%）,and the multiple in 16 cases（47.0%）.Diverticula were located on the trachea in 16 cases（47.0%）,on bronchus in 16 cases（47.0%）and on both trachea and bronchus in 2 cases.The diameter of the diverticulum was between 0.2 cm to 3.8 cm.[Conclusion] CT and bronchoscopy are the optimum diagnostic technique for tracheobronchial diverticula.
出处
《大连医科大学学报》
CAS
2010年第3期278-281,共4页
Journal of Dalian Medical University
关键词
气管
支气管
憩室
CT
trachea
bronchi
diverticula
computer tomography
