经支气管镜高频电圈套联合冷冻切除治疗支气管脂肪瘤1例  

A case of bronchial lipoma treated by bronchoscope high frequency electrical snare combined with cryotherapy

作　　者：王保明 李志豪 邢西迁 WANG Baoming;LI Zhihao;XING Xiqian(Department of Respiratory Medicine,Honghe Hani and Yi Autonomous Prefecture South Yunnan Central HospitalGejiu People′s Hospital,Yunnan Province,Gejiu661000,China;Department of Critical Medicine,Guangnan County People′s Hospital,Yunnan Province,Guangnan663300,China;Department of Respiratory,the Second People′s Hospital of Yunnan Province,Yunnan Province,Kunming650021,China;Department of the First Respiratory,Yan′an Hospital Affiliated to Kunming Medical University,Yunnan Province,Kunming650051,China)

机构地区：[1]云南省红河州滇南中心医院个旧市人民医院呼吸内科,云南个旧661000 [2]云南省广南县人民医院重症医学科,云南广南663300 [3]云南省第二人民医院呼吸科,云南昆明650021 [4]昆明医科大学附属延安医院呼吸内一科,云南昆明650051

出　　处：《中国医药导报》2020年第27期171-174,共4页China Medical Herald

基　　金：云南省科技计划项目(2014RA020)。

摘　　要：气管支气管脂肪瘤是一种罕见病,多见于中老年男性,病因目前尚无定论,临床症状无特异性,易误诊。选取2016年在云南省昆明市延安医院呼吸与危重症医学科住院的支气管脂肪瘤患者1例,阐述其诊治过程,总结经验。患者,女,46岁,因“咳嗽、咳痰3周”入院,入院后通过高分辨胸部CT、支气管镜检查,经气管镜腔下高频电圈套联合冷冻切除支气管腔内新生物,切下新生物病理示脂肪瘤伴涎腺组织增生。术后患者咳嗽、咳痰症状减轻,复查胸部CT示右中间支气管管腔通畅,右中下肺渗出吸收。通过病例回顾分析及文献复习,对气管支气管脂肪瘤的流行病学、临床症状、影像学特点,以及治疗的选择进行综述。提高对气管支气管脂肪瘤的诊治水平,减少漏诊、误诊。Tracheobronchial lipoma is a rare disease,mostly seen in middle-aged and elderly men.Its etiology has not been determined yet,and its clinical symptoms are not specific,so it is easy to be misdiagnosed.A patient with broncholipoma who was admitted to the Department of Respiratory and Critical Care Medicine,Yan′an Hospital,Kunming City,Yunnan Province in 2016 was selected.Describe the diagnosis and treatment process and summarize the experience.The patient,female,46 years old,was admitted for“cough and sputum for 3 weeks”.After admission,she was examined by high-resolution chest CT and bronchoscopy,and the neoplasm in the bronchial lumen was removed by high frequency electrical entrapment under the tracheoscope combined with cryotherapy,and the neoplasm was removed to reveal lipoma with saliary gland hyperplasia.Postoperative symptoms of cough and sputum were alleviated.Chest CT reexamination showed that the right middle bronchial lumen was unobtrusive and the right middle and lower lungs exudated and absorbed.Through case review and literature review,the epidemiology,clinical symptoms,imaging characteristics,and treatment selection of tracheobronchial lipoma were reviewed.Improve the level of diagnosis and treatment of tracheobronchial lipoma,reduce missed diagnosis and misdiagnosis.

关 键 词：气管支气管脂肪瘤 支气管镜 高频电圈套切除术 冷冻 

分 类 号：R521[医药卫生—内科学]