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Characteristics of CT scan and bronchoscopy in tuberculous tracheobronchial stenosis
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Abstract
Introduction: In Vietnam, we recognize that the number of studies on tuberculous tracheobronchial stenosis is limited. Diagnosis of the location, diameter, lenght and associated lesions in tuberculous tracheobronchial stenosis is very important for surgical treatment indications.
Methods: A prospective series of cases on 48 patients with tuberculous treacheobronchial stenosis treated plastic surgery at the Department of Thoracic Surgery, Pham Ngoc Thach Hospital in the period from 01/01 / 2015 to 31/12/2018
Results: 48 patients included: 03 patients with tracheal stenosis of the middle 1/3, 09 patients with right main bronchial stenosis, 36 patients with left main bronchial stenosis. In the group of patients with bronchial stenosis, we recorded the majority of women accounted for 91.1% and the mean age was 30.7 ± 10.1 years. On CT scan, the average length is 26.2 mm, the average diameter of the stenosis is 2mm. A record of 42.2% completed obstructive stenosis of main bronchus and 37.8% of total pulmonary collapse. On bronchoscopy images, we found that the most common stenosis main bronchus is due to scar fibrosis accounting for 93.3%, the average diameter of the stenosis is 2.2mm.
Conclusion: The preoperative CT scan and bronchoscopy have an important role in the treatment of tuberculous tracheobronchial stenosis.
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Keywords
Endobronchial tuberculosis, tuberculous tracheobronchial stenosis, tracheobronchial plastic surgery.
References
2. Xue, Q.W., N; Xue, X; Wang, J, endobronchial tuberculosis: an overview. European Journal of clinical Microbiology & Infectious diseases, 2011. 30(9): p. 1039-1044.
3. Jalal, A. and K. Jeyasingham, Bronchoplasty for malignant and benign conditions: a retrospective study of 44 cases. European Journal of Cardio-Thoracic Surgery, 2000. 17(4): p. 370-376.
4. Choe, K.O., H.J. Jeong, and H.Y. Sohn, Tuberculous bronchial stenosis: CT findings in 28 cases. AJR Am J Roentgenol, 1990. 155(5): p. 971-6.
5. Moon, W.K., et al., Tuberculosis of the central airways: CT findings of active and fibrotic disease. American Journal of Roentgenology, 1997. 169(3): p. 649-653.
6. Heba A Abo El Naga, A.I.E.R., 1 Mahmoud Abdelaziz,2 Mohamed Shawky, The Role of Multidetector CT Virtual Bronchoscopy in Assessment of Patients with Laryngotracheal Stenosis. Journal of Otolaryngology-ENT Research, 2016. 5(2)
7. Wang, T., et al., Scarring Airway Stenosis in Chinese Adults: Characteristics and Interventional Bronchoscopy Treatment. Chinese medical journal, 2018. 131(3): p. 276-281.
8. Vinh, V.H., et al., Surgical repair for post-tuberculosis tracheobronchial stenosis. Asian Cardiovascular and Thoracic Annals. 0(0): p. 0218492320963972.
9. Lim, S.Y., et al., Factors predicting outcome following airway stenting for post-tuberculosis tracheobronchial stenosis. Respirology, 2011. 16(6): p. 959-64.
10. Lei, Y., et al., Analysis of the surgical treatment of endobronchial tuberculosis (EBTB). Surg Today, 2014. 44(8): p. 1434-7.