Gao Hui-Jiang, Gong Lei, Jiang Zhi-Hui, Wei Yu-Cheng, Ma Kai
Department of Thoracic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, China.
Department of Esophageal Cancer, Tianjin's Clinical Research Center for Cancer and Key Laboratory of Cancer Prevention and Therapy, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300000, China.
Ann Transl Med. 2019 Jan;7(1):12. doi: 10.21037/atm.2018.11.35.
Tracheal diverticulum is a rarely congenital or acquired tracheal benign entity, characterized by round or spherical out-pouching of the tracheal wall. Most of the tracheal diverticula are asymptomatic disease, and therefore surgical treatment has not been widely reported. Symptomatic diverticula can accept conservative treatment such as anti-inflammatory, postural drainage, etc. Transcervical resection or endoscopic laser surgery or electrosurgery should be considered for patients with severe symptoms or combined with repeated tracheobronchial inflammation. However, there is still insufficient evidence to recommend the optimal therapeutic schedule at present. We describe a special tension tracheal diverticulum with rare symptoms of dysphagia and dizziness for the first time which has a recurrence after interventional sclerotherapy followed by transcervical resection.
气管憩室是一种罕见的先天性或后天性气管良性病变，其特征为气管壁呈圆形或球形向外膨出。大多数气管憩室为无症状疾病，因此手术治疗的报道并不广泛。有症状的憩室可接受抗炎、体位引流等保守治疗。对于症状严重或合并反复气管支气管炎的患者，应考虑行经颈切除术或内镜激光手术或电外科手术。然而，目前仍缺乏足够的证据来推荐最佳治疗方案。我们首次描述了一种特殊的张力性气管憩室，伴有罕见的吞咽困难和头晕症状，在介入硬化治疗后行经颈切除术后复发。
