Dixon G F, Donnerberg R L, Schonfeld S A, Whitcomb M E
Am Rev Respir Dis. 1984 Jun;129(6):1028-30. doi: 10.1164/arrd.1984.129.6.1028.
In order to determine the present clinical spectrum of broncholithiasis and the impact that chest computed tomographic (CT) scans, laminograms , and fiberoptic bronchoscopy ( FOB ) have had on the diagnosis and treatment of this entity, we reviewed our experience between 1970 and 1982. Nineteen patients were identified with this diagnosis. Cough, hemoptysis, and obstructive pneumonia were the most common presentations. Lithoptysis occurred in only 3 patients. The chest radiographic findings were nonspecific, but in 8 of the 19 patients, laminograms or chest CT scans helped establish the diagnosis; FOB was performed on 18 patients and was abnormal in each case, with 8 intrabronchial calcifications identified. However, FOB has limited therapeutic indications in this disorder. Depending on the patient's clinical status and underlying lung disease, observation, bronchoscopic removal of the stone, or surgical resection may be indicated.
为了确定支气管结石症目前的临床谱，以及胸部计算机断层扫描（CT）、断层X光片和纤维支气管镜检查（FOB）对该疾病诊断和治疗的影响，我们回顾了1970年至1982年间的经验。确诊为该病的患者有19例。咳嗽、咯血和阻塞性肺炎是最常见的表现。仅3例患者出现咳出结石。胸部X线表现无特异性，但19例患者中有8例通过断层X光片或胸部CT扫描协助确诊；18例患者接受了纤维支气管镜检查，结果均异常，发现8例存在支气管内钙化。然而，纤维支气管镜检查在该疾病中的治疗指征有限。根据患者的临床状况和潜在肺部疾病，可选择观察、通过支气管镜取出结石或进行手术切除。
