摘要
目的探讨支气管镜介入辅助治疗气管支气管结核的价值。方法选择2014年5月至2015年5月医院收治的气管支气管结核患者64例,分成观察组和对照组各32例。对照组患者应用常规抗结核药物治疗,观察组患者在其基础上加用支气管镜介入治疗。比较两组的痰菌转阴率、影像学疗效、支气管镜下疗效、并发症以及复发率等。结果观察组患者的痰菌转阴率、影像学总有效率、支气管镜下总有效率都明显高于对照组患者(P<0.05);观察组中,单纯冷冻治疗的支气管镜下总有效率明显低于冷冻联用球囊扩张(P<0.05);观察组的1年复发率明显低于对照组(P<0.05)。结论气管支气管结核患者应用支气管镜下介入治疗,疗效确切,安全可靠,值得加以推广。
Objective To discuss the value of bronchoscopic intervention on patients with tracheobronchial tuberculosis. Methods 64 patients with tracheobronchial tuberculosis were selected from May 2014 to May 2015, and they were randomly divided into the observation group （32 cases） and the control group （32 cases）. The control group was treated with conventional anti-TB program, and on the basis of the control group, the observation group was treated with bronchoscopic intervention. The sputum negative rate, radiographic lesions absorption, bronchoscopic focus changes, complications and recurrence were compared between the two groups. Results The sputum negative rate, the total efficiency of radiological, bronchoscopic total efficiency of the observation group were significantly higher than those of the control group （ P 〈 0. 05）. In the observation group, the bronchoscopic total effective rate of simple cryotherapy was significantly lower than that with cryotherapy and balloon dilatation （ P 〈 0. 05 ）. One-year recurrence rate of the observation group was significantly lower than that of the control group （P 〈 0. 05）. Conclusion Broncho- scopic intervention is effective, safe and reliable in the treatment of patients with tracheobronchial tuberculosis.
出处
《临床肺科杂志》
2016年第7期1282-1285,共4页
Journal of Clinical Pulmonary Medicine
关键词
气管支气管结核
支气管镜
介入治疗
bronchial tuberculosis
bronchoscopy
interventional treatment
