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骨化性气管支气管病
引用本文:吴汉刚,梁克诚,梁新梅. 骨化性气管支气管病[J]. 临床肺科杂志, 2008, 13(7): 864-865
作者姓名:吴汉刚  梁克诚  梁新梅
作者单位:广西柳州医学高等专科学校第一附属医院呼吸科,545002;广西柳州医学高等专科学校第一附属医院呼吸科,545002;广西柳州医学高等专科学校第一附属医院呼吸科,545002
摘    要:目的探讨骨化性气管支气管病的临床特征、诊断及治疗。方法对本例临床表现,结合文献分析。结果28例男16例,女12例。临床症状:咳嗽96.4%(27/28),咳痰53.6%(15/28),咯血28、6%(8/28),气促10、7%(3/28),声嘶7、1%(2/28),胸片无特征性改变;肺部CT在气管、支气管前、侧壁发现散发或多发斑块状结节,突向管腔,部分钙化,结节大小1~7ml/1。纤维支气管镜下改变:气管、支气管黏膜粗糙,凹凸不平,管壁广泛散在分布米粒样大灰黄色小结节,无蒂。结论骨化性气管支气管病是一种良性疾病,预后较好,肺部CT,纤维支气管镜有特征性改变,可以确诊。临床医生对本病认识不足,易误诊误治,有必要提高对本病认识。

关 键 词:骨化性气管支气管病  诊断  纤维支气管镜  CT
修稿时间:2008-02-02

Tracheobronchopathic osteochondroplastica
WU Hangang,LIANG Kecheng,LIANG Xingmei. Tracheobronchopathic osteochondroplastica[J]. Journal of Clinical Pulmonary Medicine, 2008, 13(7): 864-865
Authors:WU Hangang  LIANG Kecheng  LIANG Xingmei
Affiliation:WU Hangang, LIANG Kecheng, LIANG Xingmei (The 1st Hospital Affiliated to Liuzhou Medical College, Liuzhou, GuangXi 545002, China)
Abstract:Objective To summarize the manisfestations, diagnosis and treatment of tracheobronchopathic osteochondroplastica (TO). Methods Report of one new case and 27 cases in the Chinese medical literature were reviewed. Results Majority of the cases were nonspecific, Some patients had cough, expectoration and hemoptysis hoarseness dyspnea. The diagnosis was usually made on the basis of endoscopy and CT-Scan but insensitive by radiative chest film, and could usually be confirmed by pathology. Conclusion To is a benign disease, with favorable prognosis and treatment is usually anti - symptomatic, As an uncommon disease, it is often misdiagnosed or missed diagnose, arousing the recognition of this particular is really in need.
Keywords:CT
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