气管支气管骨化症的临床诊治进展  

Progress in Clinical Diagnosis and Treatment of Tracheobronchial Ossification

作　　者：陈婷[1] 柳广南[2] CHEN Ting;LIU Guang-nan(Department of Respiratory and Critical Care Medicine,Qinzhou Second People's Hospital,Qinzhou 535000,China; Department of Respiratory and Critical Care Medicine,Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,China)

机构地区：[1]钦州市第二人民医院呼吸与危重症科,广西钦州535000 [2]广西医科大学第二附属医院呼吸与危重症科,广西南宁530007

出　　处：《中国医药指南》2020年第19期30-31,共2页Guide of China Medicine

摘　　要：气管支气管骨化症是一种罕见的气管的良性病变,主要以气管和支气管黏膜下多发性骨和(或)软骨组织结节样增生并突出于管腔为特征。大部分患者无症状或症状无特异性。气管镜下具有特征性表现,可见气管、支气管前壁、侧壁管壁多发结节,直径1~5 mm,突出管腔,可散发或融合成片,呈卵石状或钟乳石样改变,严重也可累及膜部和声门,具有诊断意义。病理是确诊的金标准。对于该病治疗多采取对症处理方式,而有气道狭窄的患者可介入治疗,并可尝试联合吸入糖皮质激素治疗。Ossifying tracheobronchial disease is a rare benign lesion of the trachea characterized by multiple nodular and/or cartilage-like nodular hyperplasia of the trachea and bronchus and protruding from the lumen.Most patients are asymptomatic or have no specific symptoms.Characteristic symptoms under bronchoscopy include visible multiple nodules in the trachea,bronchial anterior wall,and the tube’s side wall.The nodules have sizes varying between 1 and 5 mm in diameter and have protruding lumen,which can be scattered or fused into a piece,showing a pebbly or stalactite-like change.Serious symptoms may also affect the respiratory membrane and glottis,all with diagnostic significance.Overall,pathology is the gold standard for diagnosis.For the treatment of this disease,symptomatic treatment is mostly adopted,and patients with airway stenosis can be treated with intervention,and combined with inhaled corticosteroids.

关 键 词：气管支气管骨化症 诊治 进展 

分 类 号：R562[医药卫生—呼吸系统]