摘要
目的:探讨气管-支气管结核的临床特点及纤维支气管镜在气管-支气管结核诊断和治疗中的应用价值。方法:分析我院90例门诊及住院确诊气管-支气管结核患者临床表现、影像学、痰检、PPD皮试结果、纤维支气管镜检查结果、治疗方法(全身及局部)、治疗结果及转归。结果:90例气管-支气管结核中以青壮年多见,占62.2%,女多于男,女∶男为1.7∶1;诊断率呈逐年增加趋势;临床表现无特异性,易误诊;纤维支气管镜下表现多样;全身用药的同时经纤维支气管镜清除坏死物及肉芽,局部给药治疗,对细菌清除和病变的吸收显效快,减少气管支气管狭窄;对主支气管及较大支气管狭窄者安置支气管支架,改善生活质量。结论:纤维支气管镜是诊断气管-支气管结核的重要且特异的方法,纤维支气管镜局部治疗对气管-支气管结核预后有重要意义。
Objective：To explore the clinical features of trachea-bronchial tuberculosis and bronchoseopy in the diagnosis and treatment of trachea-bronchial tuberculosis in the application. Methods：Analyzing 90 cases of in-patient and out-patient diagnosed with trachea-bronchial tuberculosis by clinical manifestations, imaging, sputum seized, PPD skin test, results of the bronchofibroscope examination, treatment （local and general）, the results of the treatment and prognosis. Results：90 cases of tracheal-bronchial tuberculosis mostly were young adults, accounting for 62.2 percent, women were more than men and women to men was 1.7：1; Diagnosis rate trends were increasing year by year; no specific clinical man ifestations, easy misdiagnosed; under broncbofibroscope there were various performance; systermie administrated at the same time using bronchofibroscope to remove material necrosis and granulation, the local administration of treatment, the removal of bacteria and diseases absorption had quickly effect, reducing the narrow of trachea and bronchus; large and the main bronchial stenosis were bronchial stent placement, to improve the quality of life. Conclusion： Bronehofibroseope is a important and specific methods of diagnosis in trachea - bronchial tuberculosis, bronchofibroseope local treatment for trachea-bronchial tuberculosis prognosis is of great significance.
出处
《中国医药导报》
CAS
2009年第11期152-153,共2页
China Medical Herald
