气管源性囊肿破坏甲状软骨侵入气道1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2022.236

摘要/Abstract

摘要： 目的探讨气管源性囊肿的临床表现、诊断思维、治疗方法及预后,以减少误诊误治。方法回顾性分析1例罕见气管源性囊肿患者的临床资料并复习相关文献进行总结。结果气管源性囊肿临床表现缺乏特异性,常规间接喉镜检查容易造成误诊漏诊,电子喉镜及影像学检查能提高该病的确诊率。囊肿减压后开放性手术切除为气管源性囊肿有效治疗方法,术后病理活检对病变确诊及预后评估。结论气管源性囊肿临床及影像表现无特异性,因而详细病史采集、全身系统检查、病理活检等有效手段对于早期诊断疾病非常重要。

关键词: 气管, 囊肿, 声嘶, 呼吸困难

Abstract: Objective To reduce misdiagnosis and erroneous treatment of tracheal cysts by investigating their clinical manifestations, diagnostic criteria, treatment, and prognosis. Methods The clinical data of a patient with a tracheal cyst was retrospectively analyzed and relevant literature was reviewed. Results The clinical manifestations of tracheal cysts lack specificity, and routine indirect laryngoscopy has been known to cause mistaken or delayed diagnoses. Electronic laryngoscopy and imaging examinations can improve diagnosis rates. Tracheal cysts can be treated effectively with decompression surgery, and pathological biopsies can be helpful for diagnosis and prognosis assessment. Conclusion Tracheal cyst of characteristic clinical and imaging manifestation. Medical history, systemic examinations, and pathological biopsies are very important for diagnosis and treatment of tracheal cysts.

Key words: Trachea, Cyst, Hoarseness, Dyspnea

中图分类号:

R734.1

李少华,彭宏彬,卢标清,徐庆文. 气管源性囊肿破坏甲状软骨侵入气道1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(5): 96-98.

LI Shaohua, PENG Hongbin, LU Biaoqing, XU Qingwen. Thyroid cartilage damage and airway invasion caused by tracheogenic cyst: a rare case report[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(5): 96-98.

参考文献

[1] Okumura T, Miwa T, Watanabe T, et al. Paratracheal air cyst and bronchogenic cyst in patients with esophageal cancer who received thoracoscopic esophagectomy: a case series of three patients[J]. Int J Surg Case Rep, 2021, 85: 106243. doi:10.1016/j.ijscr.2021.106243
[2] 张立红, 丁元吉, 静媛媛. 气管源性囊肿一例[J]. 中华耳鼻咽喉头颈外科杂志, 2006, 41(5): 383-384. doi:10.3760/j.issn: 1673-0860.2006.05.025 ZHANG Lihong, DING Yuanji, JING Yuanyuan. A case of tracheogenic cyst[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2006, 41(5): 383-384. doi:10.3760/j.issn: 1673-0860.2006.05.025
[3] 赵利敏, 倪坤, 陈芳, 等. 儿童颈部支气管源性囊肿的诊治[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(21): 1670-1671. doi:10.13201/j.issn.1001-1781.2018.21.015 ZHAO Limin, NI Kun, CHEN Fang, et al. The diagnosis and treatment of cervical bronchogenic cysts in children pediatric[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2018, 32(21): 1670-1671. doi:10.13201/j.issn.1001-1781.2018.21.015
[4] Chin ATY, Borg HK, Chew C, et al. Pre-tracheal air cyst[J]. J Laryngol Otol, 2004, 118(9): 730-731. doi:10.1258/0022215042244778
[5] Denson SE, Taussig LM, Pond GD. Intraluminal tracheal cyst producing airway obstruction in the newborn infant[J]. J Pediatr, 1976, 88(3): 521-522. doi:10.1016/s0022-3476(76)80288-0
[6] Noack K, Haake K. Tracheal wall cyst. A rare cause of stridor in the adult[J]. HNO, 1998, 46(5): 548-550. doi:10.1007/s001060050268
[7] Crisafulli E, Lazzari C, Longo C, et al. Spot the trachea! A wide paratracheal air cyst of not easy definition[J]. Acta Biomed, 2018, 89(2): 260-261. doi:10.23750/abm.v89i2.5610

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