Characteristics of CT scan and bronchoscopy in tuberculous tracheobronchial stenosis

Truong Thanh Thiet, Nguyen Huu Lan, Nguyen Hoai Nam

Main Article Content

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.

Article Details

References

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