CAJ | 학술논문

目的：观察在纤维支气管镜下介入治疗支气管结核伴气道狭窄的临床疗效及安全性。方法：回顾性分析兰州结核病医院支气管结核并发支气管狭窄患者118例，按照治疗方案的不同，将患者分为氩气刀治疗组40例，冷冻治疗组78例，观察临床疗效和并发症，随访半年。结果：118例患者均顺利完成治疗。冷冻组在CT下疗效、症状缓解、气促评分的改善方面优于氩气刀组，两组的并发症无显著区别。结论：采用纤维支气管镜下冷冻治疗支气管结核并发气道狭窄优于氩气刀治疗，具有较好的疗效和较佳的安全性。
목적：관찰재섬유지기관경하개입치료지기관결핵반기도협착적림상료효급안전성。방법：회고성분석란주결핵병의원지기관결핵병발지기관협착환자118례，안조치료방안적불동，장환자분위아기도치료조40례，냉동치료조78례，관찰림상료효화병발증，수방반년。결과：118례환자균순리완성치료。냉동조재CT하료효、증상완해、기촉평분적개선방면우우아기도조，량조적병발증무현저구별。결론：채용섬유지기관경하냉동치료지기관결핵병발기도협착우우아기도치료，구유교호적료효화교가적안전성。
Objective: To observe the clinical effects and safety of fiberoptic bronchoscopy in treatment of bronchial tuberculosis combined with airway stenosis. Methods: 118 patients were randomized into argon group (40 cases treated by Argon plasma coagulation) and cryotherapy group(78 cases treated by cryotherapy). Clinical efficacy and complications were observed. Results: All patients successfully completed treatment. Cryotherapy group had better efficacy on CT efficacy, symptoms, shortness of breath score than argon group. There were no significant difference on complications. Conclusion: Bronchoscpic cryotherapy for bronchial tuberculosis had better efficacy than argon plasma coagulation.