CAJ | 학술논문

目的评价纤维支气管镜下球囊扩张术治疗支气管狭窄的疗效和安全性.方法选取52例支气管狭窄患者接受纤维支气管镜介导下球囊扩张术治疗,于术前和最后一次球囊扩张术后当天,观察所有患者治疗前后气道直径、血气分析、FEV1及气促评分的变化,评价并发症的发生情况,并对患者进行必要的随访.结果52例患者分别接受球囊扩张术1~6次,平均(1.9±1.7)次.狭窄支气管的直径由治疗前的(2.28±1.45)mm增加至(5.89±1.42)mm,血气指标均较治疗前明显改善,FEV1由术前的(1.1±0.6)L增至术后的(1.9±0.4)L,气促评分由术前的(2.13±0.65)减至术后的(0.63±0.39),治疗前后各指标比较,差异均有统计学意义(P<0.01).结论纤维支气管镜下球囊扩张术是治疗支气管狭窄的安全有效的方法,值得临床推广应用.
목적평개섬유지기관경하구낭확장술치료지기관협착적료효화안전성.방법선취52례지기관협착환자접수섬유지기관경개도하구낭확장술치료,우술전화최후일차구낭확장술후당천,관찰소유환자치료전후기도직경、혈기분석、FEV1급기촉평분적변화,평개병발증적발생정황,병대환자진행필요적수방.결과52례환자분별접수구낭확장술1~6차,평균(1.9±1.7)차.협착지기관적직경유치료전적(2.28±1.45)mm증가지(5.89±1.42)mm,혈기지표균교치료전명현개선,FEV1유술전적(1.1±0.6)L증지술후적(1.9±0.4)L,기촉평분유술전적(2.13±0.65)감지술후적(0.63±0.39),치료전후각지표비교,차이균유통계학의의(P<0.01).결론섬유지기관경하구낭확장술시치료지기관협착적안전유효적방법,치득림상추엄응용.
Objective To assess the effect of balloon dilatation through fiberoptic bronchoscopy in the treatment of bronchial stenosis. Methods Fifty-two patients with bronchial stenosis were treated by balloon dilatation through fiberoptic bronchoscopy. Airway diameters, dyspnea index were evaluated in all of the patients and FEV1 was tested in all of the patients. Results One to six operations (1.9±1.7) were required to achieve satisfactory dilatation. After balloon dilatation,the average airway diameter increased from (2.28±1.45) mm to (5.89±1.42) mm. FEV1 was increased from (1.1±0.6) L to (1.9±0.4) L (P<0.01). Dyspnea index decreased from (2.13±0.65) to (0.63±0.39) (P<0.01). Conclusion Balloon dilatation through fiberoptic bronchoscopy is an effective method to treat bronchial stenosis.