先天性一侧肺发育畸形与支气管异物  

Congenital unilateral malformations of lung referred as bronchial foreign bodies

作　　者：张晓彤[1] 刘雪梅[1] 李洪跃[1] 李润民[2] 许珉[1] 樊玉林[1] 凌荧[1] 

机构地区：[1]西安交通大学医学院第二附属医院耳鼻咽喉科,西安710004 [2]西安交通大学医学院第二附属医院放射科

出　　处：《临床耳鼻咽喉科杂志》2006年第21期972-974,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的:探讨先天性一侧肺发育畸形与支气管异物在临床表现、体征及影像学检查的相似点和不同点,提出该病的特点及诊断方法。方法:对10例以“支气管异物”或“支气管异物待排”收入院后确诊为先天性一侧肺发育畸形患儿的临床资料进行分析。结果:10例中,4例经支气管镜、4例经高分辨螺旋CT和X线胸部检查、1例经高分辨螺旋CT三维重建、1例经尸体解剖确诊,其中右肺发育畸形6例,左肺发育畸形4例,伴有心脏及其他部位畸形者3例。结论:先天性一侧肺发育畸形与支气管异物的临床表现、体征相似,易误诊为支气管异物。支气管镜检查虽可明确诊断,但风险很大,故对怀疑该病的患儿可通过胸部高分辨螺旋CT三维重建确诊。Objective： To investigate the resemblances and differences of congenital unilateral malformations of lung and bronchial foreign bodies in clinical manifestation, physical sign and radiological examination, and to summarize the characteristics and to introduce diagnostic methods of the congenital unilateral malformations of lung. Method：Ten patients with the congenital unilateral malformation of lung, who were diagnosed the pulmonary atelectasis or the bronchial foreign body initially, were analyzed. Three typical, cases were analyzed in details. Result： Four patients were confirmed by rigid bronchoscope. Four patients were confirmed by X-ray and high resolution CT of lung, one patient by high- resolution CT and 3D stereographs of lung, one patient by autopsy. Six cases were the congenital malformations of the right lung and 4 cases were the left lung. Three cases of them combined with congenital cardiovascular diseases and other malformations. Conclusion：There are many resemblances between the congenital unilateral malformation of lung and the bronchial foreign body in clinical manifestation and physical sign. The congenital unilateral malformation of lung was referred as the bronchial foreign body easily. Although it can be confirmed by rigid bronchoscope, the risk of the operation for these children was very high. So if the disease was considered, high resolution CT and 3D stereographs of lung can make a definite diagnosis.

关 键 词：肺发育畸形 支气管 异物 

分 类 号：R692.1[医药卫生—泌尿科学]