摘要目的 提高对气管小叶毛细血管瘤(LCH)的临床表现、病理诊断与治疗的认识.方法 报道浙江大学医学院附属邵逸夫医院收治的2例气管LCH患者的临床表现、辅助检查及诊治过程资料并结合相关文献报道进行回顾性分析.结果 LCH是一种常发生于口腔或鼻腔的息肉状毛细血管瘤,极少见于气管.气管LCH最常见的症状是反复咯血,CT检查可帮助诊断,经支气管镜介入治疗术可达到根治效果,病理检查可确诊本病.复习国内外文献,共3例报道,其中男1例,女2例,年龄为38岁、40岁和72岁,主要症状为反复咯血.结论 气管LCH是罕见的气管良性肿瘤,无特异性临床表现及辅助检查结果,确诊需病理学诊断,在诊治过程中支气管镜发挥了重要的作用.

abstractsObjective To highlight the clinical manifestation,histologic characteristics,diagnostic and therapeutic method of tracheal lobular capillary hemangioma(LCH).Methods The clinical,auxiliary examinational and pathological data of two patients with tracheal LCH were presented,and relevant literatures were reviewed.Results LCH is a polypoid form of capillary hemangioma which usually occurrs on skin or muscosal surface of oral and nasal,rarely be seen in trachea.The most common presenting symptom of tracheal LCH is recurrent haemoptysis,CT scan can help to make diagnosis.Transbronchoscopic interventional therapy is the most effective treatment for tracheal LCH.Histologic examination can help to make the extreme diagnosis.Conclusions Tracheal LCH is a scarce benign lesion of tracheal.There isn' t any typical clinical manifestation and auxiliary examination.Histologic examination can make a definite diagnosis,and bronchoscopes plays the most effective part in diagnosis and therapy.