氣道內超聲協助診斷呼吸道受累復發性多軟骨炎一例及文獻復習_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

高平 , 勞妙嬋 , 陳娉娉 , 張曉 ,  高興林

廣東省人民醫院/廣東省醫學科學院呼吸科(廣東廣州 510080);

Corresponding?author：

高興林, Email: xinglingao@hotmail.com

Keywords：

氣道內超聲; 復發性多軟骨炎

DOI：

10.7507/1671-6205.2015072

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的提高對呼吸道受累的復發性多軟骨炎(RP)的臨床認識,以及氣道內超聲對氣道壁疾病的診斷價值。方法對1例呼吸道受累的RP患者氣道內超聲協助臨床診療過程進行分析,并結合文獻復習。結果首發呼吸道癥狀有聲嘶、咳嗽、咳痰、喘息、呼吸困難等,CT檢查有氣管、支氣管狹窄、氣管軟骨變形等,支氣管鏡表現有不同程度的聲帶水腫、聲門下環狀軟骨塌陷、聲帶麻痹、喉腔狹窄和主氣道、左右支氣管及其分支彌漫或局限狹窄、充血水腫、軟骨結構消失。氣道內超聲顯示氣道壁分層模糊,軟骨層破壞增厚、形狀不規則。結論呼吸道受累的RP臨床容易誤診,氣道內超聲對氣道壁疾病具有潛在的診斷價值。

Citation： 高平, 勞妙嬋, 陳娉娉, 張曉, 高興林. 氣道內超聲協助診斷呼吸道受累復發性多軟骨炎一例及文獻復習. Chinese Journal of Respiratory and Critical Care Medicine, 2015, 14(3): 295-297. doi: 10.7507/1671-6205.2015072 Copy

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2.	高平,陳正賢,陳娉娉,等.EBUS對慢性阻塞性肺疾病氣道重構的研究.臨床肺科雜志,2012,7:1166-1168.
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1. ?陳娉娉,陳正賢,何碧芳,等.正常氣管壁超聲圖像及其對應的組織學分層的定量測量分析.中華結核和呼吸雜志,2012,35:409-412.
2. 高平,陳正賢,陳娉娉,等.EBUS對慢性阻塞性肺疾病氣道重構的研究.臨床肺科雜志,2012,7:1166-1168.
3. McAdam LP,O'Hanlan MA,Bluestone R,et al. Relapsing polychondritis:prospective study of 23 patients and a review of the literature. Medicine (Baltimore),1976,55:1932.
4. 中華醫學會風濕病學會.復發性多軟骨炎診治指南(草案).中華風濕病學雜志,2004,4:251-253.
5. Behar JV,Choi YW,Hartman TA,et al. Relapsing polychondritis affecting the lower respiratory tract. Am J Roentgenol,2002,178:173.
6. Herth F,Ernst A,Schulz M,et al. Endobronchial ultrasound reliably differentiates between airway infiltration and compression by tumor. Chest,2003,123:458-462.
7. Septimiu M,Noriaki K,Henri C. Endobronchial ultrasound morphology of expiratory central airway collapse. Respirology,2008,13:315-319.
8. Miyazu YK,Miyazawa TY,Kurimoto NR,et al. Endobronchial ultrasonography in the diagnosis and treatment of relapsing polychondritis with tracheobronchial malacia. Chest,2003,124:2393-2395.
9. 鐘南山,劉又寧,主編.呼吸病學.北京:人民衛生出版社,2012.
10. 史旭華,佟勝全,蘇金梅,等.復發性多軟骨炎呼吸道受累的特點.中華醫學雜志,2006,86:1048.
11. 張家祺,李強,白沖,等.累及氣道的復發性多軟骨炎的臨床特征及其處理.中華結核和呼吸雜志,2007,30:173-177.
12. Sharma A,Law A,Bambery P,et al. Relapsing polychondritis:clinical presentations,disease activity and outcomes. Orphanet J Rare Dis,2014,9:198.
13. Gorard C,Kadri S. Critical airway involvement in relapsing polychondritis. BMJ Case Rep,2014,Sep 11:2014.
14. 唐福林,胡清,石振峰,等.復發性多軟骨炎19例臨床分析.中華風濕病學雜志,1997,1:25-27.

Chinese Journal of Respiratory and Critical Care Medicine

氣道內超聲協助診斷呼吸道受累復發性多軟骨炎一例及文獻復習

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