气管支气管软化症的诊断研究进展  

Progress in Diagnosis of Tracheobronchomalacia

作　　者：何倩颖 鲁际[1] HE Qianying;LU Ji(Department of Radiology,the First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;不详)

机构地区：[1]三峡大学第一临床医学院(宜昌市中心人民医院)放射科,湖北宜昌443003

出　　处：《中国医学创新》2024年第8期170-174,共5页Medical Innovation of China

摘　　要：气管支气管软化症(tracheobronchomalacia,TBM)是由于气管缺少应有的软骨硬度导致的气管管腔呼气时过度塌陷的一种病理现象。其临床表现为不同程度的咳嗽、咳痰、呼吸困难,甚至窒息死亡。目前,国内外普遍认为TBM的诊断金标准是纤维支气管镜检,呼气时气道管腔面积减少>50%则判断为阳性。TBM缺乏特异的临床表现,临床往往因误诊、漏诊而延误治疗。故本文就TBM的诊断进展予以综述,旨在提高该疾病的早期诊治。Tracheobronchomalacia(TBM)is a pathological phenomenon of excessive collapse of the trachea during exhalation due to the lack of cartilage hardness and support of the trachea.Its clinical manifestations are different degrees of cough,sputum,dyspnea,and even death from asphyxia.At present,it is widely believed that the gold standard for the diagnosis of TBM is fiberbronchoscopy,and the reduction of airway lumen area by more than 50%during expiratory breath is considered positive.The lack of specific clinical manifestations of TBM often leads to delayed treatment due to misdiagnosis and missed diagnosis.Therefore,this article reviews the diagnosis progress of TBM in order to improve the early diagnosis and treatment of TBM.

关 键 词：气管支气管软化症 X线计算机体层成像 磁共振成像 支气管镜 

分 类 号：R562[医药卫生—呼吸系统]