临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
2期
127-129,130
,共4页
支气管结核%支气管镜%冷冻%氩气刀
支氣管結覈%支氣管鏡%冷凍%氬氣刀
지기관결핵%지기관경%냉동%아기도
Bronchial tuberculosis%Bronchoscope%Frozen%Argon knife
目的：探讨经支气管镜二氧化碳冷冻联合氩气刀进行支气管结核治疗的临床疗效。方法选取2010年3月至2013年6月间收治的支气管结核患者155例，按患者住院顺序分为三组，对照1组、对照2组和研究组。三组患者均应用抗结核药物、雾化吸入、局部注药；对照1组：51例，给予氩气刀治疗；对照2组：51例，给予冷冻治疗；研究组：53例，给予支气管镜介入冷冻联合氩气刀治疗。三组总疗程6个月。并对三组临床治疗效果进行对比分析。结果三组患者经6个月治疗后，研究组的治疗缓解率显著优于优于对照1组和对照2组（94.3％ vs.72.6％ vs.64.8％），差异具有统计学意义（ P <0.05）。三组患者在治疗过程中，均未出现较为严重的并发症。结论经支气管镜二氧化碳冷冻联合氩气刀进行支气管结核治疗具有安全性高、可操作性强，治疗效果好的优势，具有较高的临床推广价值。
目的：探討經支氣管鏡二氧化碳冷凍聯閤氬氣刀進行支氣管結覈治療的臨床療效。方法選取2010年3月至2013年6月間收治的支氣管結覈患者155例，按患者住院順序分為三組，對照1組、對照2組和研究組。三組患者均應用抗結覈藥物、霧化吸入、跼部註藥；對照1組：51例，給予氬氣刀治療；對照2組：51例，給予冷凍治療；研究組：53例，給予支氣管鏡介入冷凍聯閤氬氣刀治療。三組總療程6箇月。併對三組臨床治療效果進行對比分析。結果三組患者經6箇月治療後，研究組的治療緩解率顯著優于優于對照1組和對照2組（94.3％ vs.72.6％ vs.64.8％），差異具有統計學意義（ P <0.05）。三組患者在治療過程中，均未齣現較為嚴重的併髮癥。結論經支氣管鏡二氧化碳冷凍聯閤氬氣刀進行支氣管結覈治療具有安全性高、可操作性彊，治療效果好的優勢，具有較高的臨床推廣價值。
목적：탐토경지기관경이양화탄냉동연합아기도진행지기관결핵치료적림상료효。방법선취2010년3월지2013년6월간수치적지기관결핵환자155례，안환자주원순서분위삼조，대조1조、대조2조화연구조。삼조환자균응용항결핵약물、무화흡입、국부주약；대조1조：51례，급여아기도치료；대조2조：51례，급여냉동치료；연구조：53례，급여지기관경개입냉동연합아기도치료。삼조총료정6개월。병대삼조림상치료효과진행대비분석。결과삼조환자경6개월치료후，연구조적치료완해솔현저우우우우대조1조화대조2조（94.3％ vs.72.6％ vs.64.8％），차이구유통계학의의（ P <0.05）。삼조환자재치료과정중，균미출현교위엄중적병발증。결론경지기관경이양화탄냉동연합아기도진행지기관결핵치료구유안전성고、가조작성강，치료효과호적우세，구유교고적림상추엄개치。
Objective To explore the efficacy of application of carbon dioxide cryotherapy combined with argon knife through bronchosco-py in treatment of patients with bronchial tuberculosis. Methods 155 patients with bronchial tuberculosis treated in this hospital during March 2010 to June 2013 were allocated in this study,they were divided into three groups:control group 1,control group 2 and study group. Patients in these three groups were treated with anti - tuberculosis drugs,atomized inhalation and local injection of drugs. 51 cases in control group 1 were treated with argon knife;51 cases in control group 2 were given with cryotherapy;and 53 cases in study group were treated with cryotherapy com-bined with argon knife through interventional bronchoscopy. The total treatment course of 3 groups was 6 months. The clinical therapeutic effects of three groups were compared and analyzed. Results After treatment for 6 months,the remission rate of patients in study group was 94. 3% ,it was significantly better than that of control group 1 and control group 2(72. 6% and 64. 8% ),and their difference was statistically significant( P <0. 05). There was no serious complication occurred in patients of these 3 groups during treatment. Conclusion Trans - bronchial CO2 cryothera-py combined with argon knife in treatment of patients with bronchial tuberculosis have the advantages of high safety,strongly operable and good therapeutic effect,hence the combined treatment method has high clinical value.
