摘要
目的了解支气管内脂肪瘤临床特征。方法复习国内发表的有病理证据的支气管内脂肪瘤的病例，结合近期北京医院收治的2例支气管内脂肪瘤病例进行分析。结果40例患者中，男31例，女9例，平均年龄（53±11）岁，其中37例瘤体位于气管、主支气管及叶支气管。主要症状包括咳嗽、胸闷、发热、咯血等。30例胸部CT可见脂肪或软组织密度气道内肿物影，仅9例经气管镜活检诊断。32例患者最终选择外科手术治疗，7例行气管镜介入治疗。结论胸部CT和气管镜介入检查均为诊断支气管内脂肪瘤的有效手段，支气管内脂肪瘤首选经气管镜进行气管、支气管腔内治疗。
To describe the epidemiology of endobronchial lipoma and to propose appropriate diagnostic and therapeutic policies for this tumor. Methods Two cases of endobronchial lipoma were presented and 38 cases reported in literatures published in China's Mainland were reviewed. Results Thirty-one male and 9 female patients were included, with a mean age of （ 53 ± 11 ） years. The overwhelming majority of the tumors （ n = 37 ） were found in the trachea, left or right main bronchi and lobular bronchi. The main symptoms included cough, dyspnea, fever and hemoptysis. Chest CT showed fat or soft tissue density endobronehial masses in 75% （ 21/28 ） cases. Eight patients （ 22. 2% ） were diagnosed by histological study of the transbronchial biopsy specimen. Thirtytwo patients underwent surgical resection. Bronchoscopic resection was carried out in 7 cases. Conclusion CT and bronchoscope are highly useful diagnostic tools for endobronchial lipoma. Bronchoscopic resection should be considered as the first choice of treatment for endobronchial lipoma.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2012年第3期176-179,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
