[1]孙策 卢志雄 汤银江.纤维素性纵隔炎致肺动脉狭窄研究现状[J].心血管病学进展,2024,(1):24.[doi:10.16806/j.cnki.issn.1004-3934.2024.01.007]
 SUN Ce,LU Zhixiong,TANG Yinjiang.Pulmonary Artery Stenosis Caused by Fibrosing Mediastinitis[J].Advances in Cardiovascular Diseases,2024,(1):24.[doi:10.16806/j.cnki.issn.1004-3934.2024.01.007]
点击复制

纤维素性纵隔炎致肺动脉狭窄研究现状()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年1期
页码:
24
栏目:
主题综述
出版日期:
2024-02-21

文章信息/Info

Title:
Pulmonary Artery Stenosis Caused by Fibrosing Mediastinitis
作者:
孙策1 卢志雄1 汤银江2
(1.云南省滇东北区域中心医院心血管内科,云南 昭通 657000;2.云南省阜外心血管病医院呼吸与肺血管科,云南 昆明 650000)
Author(s):
SUN Ce1LU Zhixiong1TANG Yinjiang2
(1. Department of Cardiovascular Medicine,Northeast Yunnan Regional Central Hospital,Zhaotong 657000,Yunnan,China;2.Department of Respiratory and Pulmonary Vascular Diseases,Fuwai Cardiovascular Disease Hospital of Yunnan,Chinese Academy of Medical Sciences,Kunming 650000,Yunnan,China)
关键词:
纤维性纵隔炎纤维组织增生肺动脉狭窄诊疗
Keywords:
Fibrosing mediastinitisProliferation of fibrous tissuePulmonary artery stenosisDiagnosis and treatment
DOI:
10.16806/j.cnki.issn.1004-3934.2024.01.007
文献标志码:
A
摘要:
纤维素性纵隔炎(fibrosing mediastinitis,FM),又称为硬化性纵隔炎或纵隔纤维化,是以纵隔内纤维组织良性增生为特点的一类罕见疾病,随纵隔内纤维组织增生,血管、气管及食管受压后逐渐出现相应压迫症状。该疾病进展早期可无明显临床表现,易漏诊。因纤维素性纵隔炎较为罕见,病例样本量小,故目前临床研究有限,病因及发病机制仍尚不明确且无规范诊疗指南。本文就纤维素性纵隔炎致肺动脉狭窄研究现状做扼要阐述,旨在对纤维素性纵隔炎相关性肺动脉狭窄诊疗提供指导意义。
Abstract:
Fibrosing mediastinitis(FM) is also known as sclerosing mediastinitis or mediastinal fibrosis,it is a rare disease characterized by benign hyperplasia of mediastinal fibrous tissue. With the proliferation of fibrous tissue in the mediastinum,corresponding compression symptoms gradually appear after compression of blood vessels,trachea and esophagus. In the early stage of disease progression,there may be no clinical manifestations obviously,and it is easy to misdiagnose. Due to the rarity of FM and the small sample size of cases,the clinical research is limited,the etiology and pathogenesis are still unclear,and there is no standardized diagnosis and treatment guideline of FM. This article expounds the research status of pulmonary artery stenosis caused by FM,aiming to provide guidance for the diagnosis and treatment of pulmonary artery stenosis associated with FM.

参考文献/References:

[1]Hu Y,Qiu JX,Liao JP,et al. Clinical manifestations of fibrosing mediastinitis in Chinese patients[J]. Chin Med J(Engl),2016,129(22):2697-2702.?div>[2]王嘉莉,李爱莉,翟亚楠,等. 纤维素性纵隔炎的临床特点及超声心动图评估价值[J]. 中日友好医院学报,2022,36(3):131-135,147.

[3] 周明方,李博,蒋凯煜,等. 纤维纵隔炎影像学研究进展[J]. 临床内科杂志,2022,39(6):428-429.
[4] 李召侠,马展鸿,蒋涛. 纤维素性纵隔炎影像特点分析[J]. 医学影像学杂志,2022,32(6):940-943.
[5] 张舒华,林江涛,王秀红,等. 纤维素性纵隔炎的临床特征[J]. 中华呼吸与危重症医学杂志,2022,32(6):564-569.
[6] 曹云山,段一超,苏红玲. 纤维纵隔炎致肺血管狭窄的诊治进展[J]. 中华心血管病杂志,2021,20(8):823-830.
[7] Wheat LJ,Slama TG,Eitzen HE,et al. A large urban outbreak of histoplasmosis:clinical features[J]. Ann Intern Med,1981,94(3):331-337.
[8] Liu T,Gao L,Xie S,et al. Clinical and imaging spectrum of tuberculosis-associated fibrosing mediastinitis[J]. Clin Respir J,2018,12(5):1974-1980.
[9] Garrana SH,Buckley JR,Rosado-de-Christenson ML,et al. Multimodality imaging of focal and diffuse fibrosing mediastinitis[J]. Radiographics,2019,39(3):651-667.
[10] Peikert T,Colby TV,Midthun DE,et al. Fibrosing mediastinitis:clinical presentation,therapeutic outcomes,and adaptive immune response[J]. Medicine(Baltimore),2011,90(6):412-423.?/div>
[11] 廖纪萍,胡艳,邱建星,等. 纵隔纤维化患者的临床及预后分析[J]. 中华结核和呼吸杂志,2017,40(3):199-204.
[12] Seferian A,Steriade A,Ja? X,et al. Pulmonary hypertension complicating fibrosing mediastinitis[J]. Medicine(Baltimore),2015,94(44):e1800.
[13] Mathisen DJ,Grillo HC. Clinical manifestation of mediastinal fibrosis and histoplasmosis[J]. Ann Thorac Surg,1992,54(6):1053-1057.?/div>
[14] 周星,黄晏,李艳杰,等. 经皮肺静脉支架成形术治疗慢性纤维性纵隔炎所致严重肺静脉狭窄初探[J]. 中华心血管病杂志,2019,47(10):814-819.
[15] Albers EL,Pugh ME,Hill KD,et al. Percutaneous vascular stent implantation as treatment for central vascular obstruction due to fibrosing mediastinitis[J]. Circulation,2011,123(13):1391-1399.?/div>
[16] Kern R,Peikert T,Edell E,et al. Bronchoscopic management of airway compression due to fibrosing mediastinitis[J]. Ann Am Thorac Soc,2017,14(8):1353-1355.
[17] Loyd JE,Tillman BF,Atkinson JB,et al. Mediastinal fibrosis complicating histoplasmosis[J]. Medicine(Baltimore),1988,67(5):295-310.

更新日期/Last Update: 2024-03-06