Xing Xiqian, Liu Jie, Xu Shuanglan, Deng Yishu, Yang Jiao
Department of Respiratory Medicine, The Affiliated Hospital of Yunnan University, The Second People's Hospital of Yunnan Province, Kunming, Yunnan 650021, P.R. China.
First Department of Respiratory Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650032, P.R. China.
Exp Ther Med. 2022 Jan;23(1):100. doi: 10.3892/etm.2021.11023. Epub 2021 Dec 1.
Dieulafoy's disease is characterized by abnormal submucosal arteries and results in acute luminal hemorrhage. Dieulafoy's lesions can also be found in the submucosa of the bronchus. Due to its low incidence rate and non-specific clinical symptoms, Dieulafoy's disease is easy to overlook, but can lead to massive bleeding and high rates of mortality. Therefore, improvements in the understanding of the disease are necessary. The awareness of the disease and associated diagnostic and treatment techniques have continued to improve, and thus, an increasing number of cases of Dieulafoy's disease of the bronchus have been reported. In the present review, 74 cases of Dieulafoy's disease are summarized. New technologies such as endobronchial ultrasound, narrow-band imaging, angiography and argon plasma treatment have been found to be increasingly applied to diagnose and treat Dieulafoy's disease of the bronchus. Therefore, the primary focus of this systematic review is to highlight advances in the diagnosis and treatment of bronchial Dieulafoy's disease.
Dieulafoy病的特征是黏膜下动脉异常,并导致急性腔内出血。Dieulafoy病变也可在支气管黏膜下层发现。由于其发病率低且临床症状不具特异性,Dieulafoy病容易被忽视,但可导致大出血和高死亡率。因此,有必要提高对该疾病的认识。对该疾病以及相关诊断和治疗技术的认识不断提高,因此,支气管Dieulafoy病的报告病例越来越多。在本综述中,总结了74例Dieulafoy病病例。已发现诸如支气管内超声、窄带成像、血管造影和氩等离子体治疗等新技术越来越多地应用于支气管Dieulafoy病的诊断和治疗。因此,本系统综述的主要重点是突出支气管Dieulafoy病诊断和治疗方面的进展。