中国妇幼健康研究Issue(5)：783-785,786,4.DOI:10.3969/j.issn.1673-5293.2014.05.025
儿童反复喘息性疾病经纤支镜检查结果分析
Analysis of the fiberoptic bronchoscopy results of recurrent asthmatic disorders in children
余宏川 1孙欣荣 1辛丽红 1王立军1
作者信息
- 1. 西安市儿童医院呼吸科，陕西西安710003
- 折叠
摘要
Abstract
Objective To explore the significance of fiberoptic bronchoscopy on the diagnosis and treatment of pediatric recurrent asthmatic disease.Methods From October 2012 to April 2013 211 cases of children with recurrent asthmatic disease treated in Children’ s Hospital of Xi’ an were divided into 3 groups by age, <1 year old group, 1-3 years old group and >3-12 years old group.They underwent fiberoptic bronchoscopy, and the results were analyzed.Results In 211 cases of children with recurrent wheeze, the results of bronchoscopy in the order of frequency were airway malformation, tracheal intima inflammation, and tracheal foreign body.There were 100 cases of airway malformation (47.4%) , including 43 cases of tracheal and bronchial stenosis (20.4%) , 40 cases of throat, trachea and bronchial softening (20.0%), 7 cases of tracheoesophageal fistula (3.3%), 6 cases of epiglottis cyst (2.8%), and 4 cases of bronchial and pulmonary dysplasia (1.9%).There were 69 cases of tracheal and bronchial intima inflammation (32.7%),including 10 cases of bronchial intima tuberculosis (4.7%).And there were 42 cases of bronchial foreign body (19.9%).The airway factors leading to wheeze were significantly different among different groups (χ2 =55.304,P<0.001) .The primary cause leading to wheeze in >3-12 years old group and 1-3 years old group was endotracheal factor, but the extratracheal factors and the factor of bronchial wall, especially the latter one, was the main cause of asthma in the <1 year old group.Significant differences were found in the results of fiberoptic bronchoscopy among 3 groups (χ2 =72.064, P<0.001).In the <1 year old group, the frequency of airway malformation was high, in >3-12 years old group the frequency of tracheal intima inflammation was high, and in 1-3 years old group the frequencies of bronchial foreign bodies and tracheal intima inflammation were high.Conclusion Fiberoptic bronchoscopy plays an important role in etiology diagnosis and treatment for asthmatic children.关键词
纤维支气管镜/儿童/喘息/病因Key words
fiberoptic bronchoscope/children/asthma/etiopathogenisis分类
医药卫生引用本文复制引用
余宏川,孙欣荣,辛丽红,王立军..儿童反复喘息性疾病经纤支镜检查结果分析[J].中国妇幼健康研究,2014,(5):783-785,786,4.
