中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
12期
8-9
,共2页
支气管内膜结核%气管镜%球囊扩张%治疗
支氣管內膜結覈%氣管鏡%毬囊擴張%治療
지기관내막결핵%기관경%구낭확장%치료
Endobronchial tuberculosis%Fiber-bronchoscopy%Balloon-dilation%Therapy
目的 探讨支气管结核镜下的治疗方法 及临床效果.方法 总结76例支气管结核患者的临床特征,所有病例经抗结核及支气管镜下治疗,17例支气管腔狭窄严重者行支气管镜下高压球囊扩张治疗,分析评价其临床效果.结果 76例中溃疡型49例,瘢痕型25例,肉芽增殖型2例,治疗总有效率92.11%.结论 支气管镜下治疗溃疡型支气管内膜结核疗效确切,高压球囊扩张治疗是治疗和预防支气管狭窄的有效方法 .
目的 探討支氣管結覈鏡下的治療方法 及臨床效果.方法 總結76例支氣管結覈患者的臨床特徵,所有病例經抗結覈及支氣管鏡下治療,17例支氣管腔狹窄嚴重者行支氣管鏡下高壓毬囊擴張治療,分析評價其臨床效果.結果 76例中潰瘍型49例,瘢痕型25例,肉芽增殖型2例,治療總有效率92.11%.結論 支氣管鏡下治療潰瘍型支氣管內膜結覈療效確切,高壓毬囊擴張治療是治療和預防支氣管狹窄的有效方法 .
목적 탐토지기관결핵경하적치료방법 급림상효과.방법 총결76례지기관결핵환자적림상특정,소유병례경항결핵급지기관경하치료,17례지기관강협착엄중자행지기관경하고압구낭확장치료,분석평개기림상효과.결과 76례중궤양형49례,반흔형25례,육아증식형2례,치료총유효솔92.11%.결론 지기관경하치료궤양형지기관내막결핵료효학절,고압구낭확장치료시치료화예방지기관협착적유효방법 .
Objective To assess the therapeutic effect of endobronchial tuberculosis(EBTB)with different treament though fiber-bronchoscopy.Methods 76 cases of endobronchial tuberculosis have been analysed,All of cases were given treated by lavation of antituberculosis drugs through fiberbronchoscopy plus systemic antituberculosis therapy;17 cases with serious bronchistenoses were treated by balloon-dilation through fiber-bronchoscopy.Results 76 cases were classified 3 subtypes base on bronchoscopic feature:ulcer and caseous necrosis(49),fibrostenotic(25),granulatron proliferation(2).Conclusion The effect of treatment on the type of ulcer and caseous necrosis of EBTB through fiber-bronchoscopy is deffinite:It is a efective method on treating and preventing bronchistenose by balloon-dilation through fiber-bronchoscopy.
