目的分析支气管囊肿的临床表现及影像学特点。方法回顾性分析23例手术治疗的支气管囊肿患者的临床表现、影像学特点及转归。结果23例中,体检发现12例,咳嗽、胸闷11例;纵隔支气管囊肿21例,肺内支气管囊肿1例,肺外支气管囊肿1例。术后随访6个月-3年,除1例合并小细胞肺癌预后差,其余患者均预后良好。结论支气管囊肿临床表现无特异性,易误诊为纵隔肿瘤,首选手术治疗。
Objective To analyze the clinical and pathological features oi bronchial cysts. Methods Data of clinical symptoms, X-ray, CT, histopathologic manifestations and prognosis in 23 patients pathologically diagnosed as congenital bronchial cysts were retrospectively reviewed. Results Of 23 cases,lZ cases presented with non-symptoms, and 11 cases were accompanied by cough or chest tightness. Twenty-one cases were diagnosed as mediastinal bronchogenic cysts, 1 case as intrapulmonary bronchogenic cysts and 1 case as ectopic bronchogenic cysts. The postoperative follow-up time was 6 months to 3 years, which showed a good prognosis in all patients expect l patient with small cell lung cancer. Conclusion The clinical manifestations of bronchogenic cysts are not specific,which easily leads to a misdiagnosis of mediastinal tumor. Surgical resection is the optimal treatment regimen for the patients with bronchogenic cysts.