关键词: 纤维支气管镜, 氩等离子凝固, 冷冻治疗, 气管黏膜相关淋巴组织淋巴瘤

Abstract:

Objective: To introduce the clinical characteristics,diagnosisand treatment experience of one case of acute respiratory tract obstruction and review the relevants literature to heighten the understanding of tracheal mucosa associated lymphoid tissue lymphoma,and to provide a feasible way to reduce the acute dyspnea.Methods: Bronchoscopic examination,local tissue biopsies,and the treatment of argon plasma coagulation and cryosurgery were performed in the patient with acute dyspnea.After the treatment the patients was treated with local radiotherapy.Results: The dyspnea of patient was significantly impoved.The pathological results showed tracheal mucosa associated lymphoid tissue lymphoma which was also called non-Hodgkin's lymphoma.The tracheal has no stenosis under bronchoscope. Conclusion: The primary tracheal mucosa associated lymphoid tissue lymphoma is very rare. The local tissue biopsies under fiberoptic bronchoscope is the main diagnostic method.Bronchoscopic argon plasma coagulation and cryosurgery which is convenient and small traumatic can ease the patients with acute dyspnea,its combination with radiotherapy,chemotherapy or immunochemical therapy is suitable treatment for the tracheal mucosa associated lymphoid tissue lymphoma and other tracheal neoplasms.

Key words: fiberoptic bronchoscope, argon plasma coagulation, cryosurgery, tracheal mucosa associated lymphoid tissue lymphoma