骨化性气管支气管病二例报道及文献复习  

Two cases report of tracheobronchopathic osteochondroplastica with review of literature

作　　者：张伟[1] 赵怡卓[1] 韩宝惠[1] 王建华[1] 徐扣凤[1] 

机构地区：[1]上海市胸科医院肺科,200030

出　　处：《上海医学》2006年第11期772-774,F0004,共4页Shanghai Medical Journal

摘　　要：目的总结骨化性气管支气管病(TO)的病史特点、诊断及治疗。方法报道2例TO患者资料,并复习相关文献,总结TO的临床表现、诊断及治疗方法。结果共总结27例TO患者的病史特点,临床表现主要为咳嗽、咳痰、痰血、声嘶、气促和反复感染等,发生率分别为85%、52%、48%、7%、33%和26%。根据胸部CT及支气管镜检查的表现可以作出诊断,病理检查可以进一步确诊,而胸部X线片对诊断TO不敏感。治疗以抗感染、解痉等对症治疗为主,必要时可予激光、支架和微波凝固等治疗。结论TO为一种良性疾病,预后较好。TO的临床表现无特异,容易被漏诊或误诊,需提高对此病的认识。Objective To summarize the manisfestations, diagnosis and treatment of tracheobronchopathic osteochondroplastica（TO）. Methods Report of two new cases and 25 cases in the Chinese medical literature were reviewed. Results Majority of the cases were asymptomatic and the clinical manisfestations were nonspecific. Some patients had cough, expectoration, hemoptysis hoarseness dyspnea and recurrent infection with incidence of 85 %, 52 %, 48 %, 7 %, 33 % and 26% respectively. The diagnosis was usually made on the basis of endoscopy and CT-scan but insensitive by radiative chest film, and could usually be confirmed by pathology. Conclusion TO is a benign disease, with favorable prognosis and treatment is usually anti-symptomatic. As an uncommon disease, it is often misdiagnoscd or missed diagnose, arousing the recognition of this particular disorder is really in need.

关 键 词：骨化性气管支气管病 支气管核检查 咳嗽 

分 类 号：R562.2[医药卫生—呼吸系统]