摘要
目的探讨支气管镜下治疗气道内结核的临床疗效。方法将120例气道内结核患者分为纤支镜下治疗组和对照组,观察两组疗效。治疗组在抗结核基础上视镜下情况给予气管镜下氩等离子体凝固术(APC)或CO2冷冻+药物注射治疗。结果治疗2个月后治疗组的临床症状、胸部X线表现、痰菌阴转率以及纤支镜下改变与对照组比较有非常显著性差异(P<0.01),治疗6个月后痰菌阴转率及纤支镜下改变治疗组与对照组比较差异有显著性(P<0.01,P<0.05)。结论纤维支气管镜下局部治疗及注药治疗气道内结核疗效显著,值得临床推广。
Objective To study the efficacy of bronchofiberseope on troeheobronchial tuberculosis. Methods 120 cases of trocheobronchial tuberculosis patients were randomly divided into a treatment group and a control group. The treatment group were treated by APC or CO2 cryoablation and by injection of drugs through bronchofiberscope. Results By the end of the second month, there were significant differences between the two groups in the clinical symptoms, the sputum tubercle bacillus conversion rate, radiographic improvement rate and the change through bronchofibcrscope （P 〈 0. 01 ）. By the end of the sixth month, there were significant differences in the sputum tubercle bacillus conversion rate and the change through bronehofibcrscope, （ P 〈0. 01, and respectively, P 〈 0. 05 ）. Conclusion Bronchofibcrscope and injecting drugs combined with chemotherapy is effective in the treatment of endobronchial tuberculosis, which has the significant effect on the turning sputum into negative and on the radiographic improvement. It is worthwhile that the clinical application should be approached extensively.
出处
《临床肺科杂志》
2009年第2期147-148,共2页
Journal of Clinical Pulmonary Medicine
关键词
纤维支气管镜
APC
冷冻
气道结核
fiberoptie bronchoscopy
argon plasma coagulation
cryoablation
cndobronehial tuberculosis
