PDF(Pubmed)
Abstract：
UNASSIGNED: Congenital bronchial atresia (CBA), as a rare developmental abnormality of the lung, is usually asymptomatic and is accidently discovered in most cases. Currently, no standardized guidelines for the treatment or management of CBA have been established.
UNASSIGNED: A 22-year-old male soldier was referred to Shanghai Changhai Hospital, The First Affiliated Hospital of Naval Medical University due to chest tightness and shortness of breath after repeated strenuous activities. Contrast-enhanced computed tomography (CT) revealed an 18mm × 11mm solitary, well-circumscribed, and solid nodule with no enhancement in the right upper lobe (RUL), and emphysematous changes distributed throughout the RUL. A flexible bronchoscopic examination showed extrinsic compression stenosis in the bronchial opening of the right middle lobe (RML). After three-dimensional (3D) reconstruction CT and a multidisciplinary consultation, a diagnosis of CBA in the anterior segment (B3) of RUL was established. Subsequently, thoracoscopic right upper lobectomy was performed and resulted in an improved respiratory capacity 6 months after surgery. To date, the patient has good quality of life without any complication.
UNASSIGNED: This study underscores the role of bronchoscopy, 3D reconstruction CT, and a multidisciplinary consultation in the diagnosis of CBA, and highlights that a thoracoscopic intervention should be considered in such case.
UNASSIGNED: A 22-year-old male soldier was referred to Shanghai Changhai Hospital, The First Affiliated Hospital of Naval Medical University due to chest tightness and shortness of breath after repeated strenuous activities. Contrast-enhanced computed tomography (CT) revealed an 18mm × 11mm solitary, well-circumscribed, and solid nodule with no enhancement in the right upper lobe (RUL), and emphysematous changes distributed throughout the RUL. A flexible bronchoscopic examination showed extrinsic compression stenosis in the bronchial opening of the right middle lobe (RML). After three-dimensional (3D) reconstruction CT and a multidisciplinary consultation, a diagnosis of CBA in the anterior segment (B3) of RUL was established. Subsequently, thoracoscopic right upper lobectomy was performed and resulted in an improved respiratory capacity 6 months after surgery. To date, the patient has good quality of life without any complication.
UNASSIGNED: This study underscores the role of bronchoscopy, 3D reconstruction CT, and a multidisciplinary consultation in the diagnosis of CBA, and highlights that a thoracoscopic intervention should be considered in such case.
摘要：
■先天性支气管闭锁（CBA），作为一种罕见的肺发育异常，通常无症状，在大多数情况下是偶然发现的。目前,尚未建立CBA治疗或管理的标准化指南.
■一名22岁的男兵被转诊到上海长海医院，海军医科大学第一附属医院因反复剧烈活动后出现胸闷气短。对比增强计算机断层扫描（CT）显示18mm×11mm孤立，界限分明,右上叶无强化实性结节(RUL),和肺气肿的变化分布在整个RUL。柔性支气管镜检查显示右中叶（RML）支气管开口的外部压迫性狭窄。经过三维（3D）重建CT和多学科咨询，确定了RUL眼前段（B3）的CBA诊断。随后，在术后6个月进行了胸腔镜右上叶切除术，并改善了呼吸能力。迄今为止,患者生活质量良好，无任何并发症。
■这项研究强调了支气管镜检查的作用，三维重建CT,以及CBA诊断的多学科咨询，并强调在这种情况下应考虑胸腔镜干预。
■一名22岁的男兵被转诊到上海长海医院，海军医科大学第一附属医院因反复剧烈活动后出现胸闷气短。对比增强计算机断层扫描（CT）显示18mm×11mm孤立，界限分明,右上叶无强化实性结节(RUL),和肺气肿的变化分布在整个RUL。柔性支气管镜检查显示右中叶（RML）支气管开口的外部压迫性狭窄。经过三维（3D）重建CT和多学科咨询，确定了RUL眼前段（B3）的CBA诊断。随后，在术后6个月进行了胸腔镜右上叶切除术，并改善了呼吸能力。迄今为止,患者生活质量良好，无任何并发症。
■这项研究强调了支气管镜检查的作用，三维重建CT,以及CBA诊断的多学科咨询，并强调在这种情况下应考虑胸腔镜干预。
