摘要
目的评价支气管镜球囊扩张术在治疗结核性支气管狭窄的临床疗效。方法对本院2012年6月至2012年12月住院30例支气管结核引起管腔狭窄的病例,在规则抗结核治疗的同时进行球囊扩张治疗,根据治疗前后支气管镜改变及影像学改变评定临床疗效。结果 30例支气管结核患者在经电子支气管镜下球囊扩张治疗后完全缓解21例(70%),部分缓解6例(20%),2例因气管软化球囊扩张后无明显变化,最终置入支架而完全缓解;1例患者,经过球囊扩张1次后没有及时复查,放弃治疗。结论经电子支气管镜球囊扩张术治疗支气管结核气道狭窄是一种临床效果明确、安全、有效的治疗手段。
Objective To evaluate the clinical efficacy of bronchoscopy balloon dilation in the treatment of tuberculous bronchial stenosis. Methods Selected 30 bronchial stenosis cases in our department from June2012 to December 2012. All the patients caused by tuberculosis cases in the rules for anti-TB treatment while for balloon dilation treatment. According to the bronchoscopy changes and clinical assessment imageology changes before and after treatment, evaluated the clinical efficacy. Results After treatment of e-bronchoscopic balloon dilation, 21 cases(70%) had complete remission, 6 cases(20%) had partial remission, 2 cases had no significant change due to tracheomalacia(after stenting, ultimately had complete remission) and one patient give up treatment because after balloon dilation he didn't had in time second review and gave up treatment.Conclusion Electronic bronchoscope balloon dilation treatment was an effective and safe clinical treatment for bronchial tuberculosis airway stenosis.
出处
《中国医学前沿杂志（电子版）》
2013年第8期14-16,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
支气管结核
球囊扩张
电子支气管镜
气道狭窄
Bronchial tuberculosis
Balloon dilation
Electronic bronchoscope
Airway stenosis
