支气管镜下高频电刀电灼术治疗呼吸道粘膜角化病1例并文献复习  

Treatment of respiratory tract membrane keratosis with endobronchial high-frequency electrocautery removal via bronchoscopy-One-case report and review of Literature

作　　者：厉为良[1] 李永华[1] 王爱忠[1] 吕丽辉[1] 杨玉波[1] 华海燕[1] 李洪艳[1] 

机构地区：[1]浙江省宁波市解放军第一一三医院,315040

出　　处：《临床肺科杂志》2007年第5期431-433,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的研究呼吸道粘膜角化病(喉及气管角化病)的临床表现和预后,探索其发病机制和治疗策略。方法病例报告和文献复习。结果报告声门以下喉并气管上段粘膜角化病并引起气道梗阻1例,经高频电刀电灼治疗后粘膜角化显著受抑,未再发生气道梗阻。术后4月复查原有病灶完全消失,粘膜恢复正常。随访10月无复发。结论对于呼吸道角化病目前尚无特异疗法,高频电灼术不失为一行之有效的局部治疗方法。Objective To study the clinical manifestation and prognosis of respiratory tract membrane keratosis （ laryngeal and tracheal keratosis）, and explore its pathogenesis and therapeutical strategy. Methods Case report was conducted and reference materials were reviewed. Results Reported herein was one case of laryngeal （under the glottis） and tracheal （upside）keratosis with respiratory tract obstruction resulting from large pieces of canary yellow lichenification in which pathological finding was coincident with keratosis. The lichenification regenerated rapidly and respiratory tract obstruction simply reoccurred after cleaning it out. While the lichenifications were restrained and respiratory tract obstruction did not reoccur after endobronchial high - frequency electrocautery removal. Bronchoscopy showed that the primary focus has disappeared and respiratory tract membrane has recovered after the electrocautery 4 months ago, and it did not reoccur in the 10-month follow-up. Conclusions There is no special therapeutics for respiratory tract membrane keratosis, yet high - frequency electrocautery removal may be one of feasible and effective therapeutics.

关 键 词：角化病/喉 气管 呼吸道粘膜角化病 支气管镜术 高频电灼术 

分 类 号：R655[医药卫生—外科学]