摘要
目的:探讨经纤维支气管镜球囊扩张治疗结核性支气管狭窄的临床价值。方法:对2005年10月~2006年11月在我院就诊的26名结核性支气管狭窄患者,在内镜直视下进行球囊扩张治疗,并在术前和最后一次球囊扩张治疗后当天对狭窄段气道直径,气促评分和第一秒用力呼气容积(FEV1)进行测定。结果:经纤维支气管镜球囊扩张后临床症状明显缓解,狭窄段直径明显增大(P〈0.01),气促评分明显降低(P〈0.01),术后FEV1明显上升(P〈0.01)。结论:纤维支气管镜下球囊扩张治疗结核性支气管狭窄能明显改善肺通气功能,缓解气促症状,是一种简单、安全、有效的治疗方法。
Objective. To assess the value of balloon dilation using a fiberoptic bronchoscopy in the management of tubercular bronchial stenosis. Methods. Twenty-six patients with tubercular bronchial stenosis between October 2005 and November 2006 underwent fiberoptic bronchoscopic balloon dilation. Before the procedure and immediately after the last operation, airway diameters, dyspnea classification were evaluated in all of the patients and FEV1 was tested. Results. The average airway diameter, dyspnea classification and pulmonary function were all improved after balloon dilation. Conclusion. fiberoptic bronchoscopic balloon dilation is a simple, rapid, safe and effective method to treat tubercular bronchial stenosis.
出处
《实用临床医学(江西)》
CAS
2007年第1期39-41,共3页
Practical Clinical Medicine