气管多发型鳞状细胞乳头状瘤1例并文献复习  

Trachea multiple squamous papilloma:report of one case and literature review

作　　者：李殿明[1] 李翠侠[1] 胡俊锋[1] 陈余清[1] 

机构地区：[1]蚌埠医学院第一附属医院呼吸病科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2010年第11期1098-1100,共3页Journal of Bengbu Medical College

摘　　要：目的:分析气管乳头状瘤的临床特点,以提高对气管乳头状瘤的认识,做到早诊断、早治疗。方法:对1例形态学表现气管多发性鳞状细胞乳头状瘤患者的病史、临床表现、胸部CT、纤维支气管(纤支镜)镜检查及病理并结合有关文献进行回顾性分析。结果:临床表现以进行性呼吸困难常见,反复咳嗽、咳痰(偶有黄脓痰),咯出"肉样物"次之,咯血也可见到;胸部CT、气管三维重建及纤支镜检查尤为重要。结论:成人气管乳头状瘤少见,早期容易误诊,行纤支镜检查可明确诊断;经支气管镜引导下介入治疗安全可靠。Objective：To summarize and analyze the clinical features of the trachea squamous papilloma so as to arouse the awareness of the disease and make early diagnosis and treatment.Methods：The clinical data of one case of trachea multiple squamous papilloma（including the case history,clinical manifestations,chest CT photos,bronchoscope and pathology results）were analyzed retrospectively and reviewed with literature.Results：The characteristic symptoms of tracheal papilloma were dyspnea,coughing and expectorating ＂meat-like＂ material;hemoptysis could also be seen.The chest CT,three-dimensional reconstruction of the trachea and bronchoscopy were great value in diagnosis of the disease.Conclusions：As tracheal papilloma is rarely seen,it is easy to be misdiagnosed.Interventional therapy under electron-bronchoscope is safe and effective for treatment of the disease.

关 键 词：气管肿瘤 乳头状瘤 支气管镜检查 介入治疗 

分 类 号：R734.1[医药卫生—肿瘤]