Study on the Clinical manifestation of pediatric tracheobronchomalacia and diagnostic value of fiberoptic bronchoscopy

OBJECTIVE To study clinical manifestation of pediatric tracheobronchomalacia and explore the diagnostic value of fiberoptic bronchoscopy(FB).METHODS 135 cases who did not obviously improved by traditional internal treatment were performed by FB.All children who had refractory infection,prolonged wheezing and chronic cough underwent lavage.RESULTS 135 cases were detected by FB,and the diagnosis were as follows:32 cases were tracheobronchomalacia,including 27 tracheomalacia cases and 5 bronchomalacia cases.5 of them were complicated with laryngomalacia,7 complicated with congenital heart disease,3 complicated with tracheostenosis,2 complicated with esophageal atresia and 1 complicated with H type tracheo-esophageal fistula.CONCLUSION pediatric tracheobronchomalacia is a reason for refractory infection and continuous cough,and fiberoptic bronchoscopy has an important diagnostic value for this disease.