CAJ | 학술논문

目的：探讨支气管球囊扩张术治疗结核性瘢痕为主气道狭窄的临床疗效，并对影响疗效的相关因素进行分析。方法：选择13例支气管结核引起的气道狭窄患者，术前经支气管镜和CT检查确认狭窄部位及程度，行球囊扩张成形术，每周扩张1次，并在术后评价扩张前、后气促评分，1 s用力呼气容积(FEV1)，用力肺活量(FVC)及气道内径，评价近期及远期疗效和肺功能改善状况。结果：13例患者经纤维支气管镜球囊扩张术前、后的气道直径，气促评分，FEV1及FVC均有显著改善，治疗前、后比较差异显著，有统计学意义(t=15.596，t=-27.657，t=-14.604，t=-41.766；P＜0.05)。结论：应用球囊扩张治疗结核性瘢痕型气道狭窄能取得较好的疗效。
목적：탐토지기관구낭확장술치료결핵성반흔위주기도협착적림상료효，병대영향료효적상관인소진행분석。방법：선택13례지기관결핵인기적기도협착환자，술전경지기관경화CT검사학인협착부위급정도，행구낭확장성형술，매주확장1차，병재술후평개확장전、후기촉평분，1 s용력호기용적(FEV1)，용력폐활량(FVC)급기도내경，평개근기급원기료효화폐공능개선상황。결과：13례환자경섬유지기관경구낭확장술전、후적기도직경，기촉평분，FEV1급FVC균유현저개선，치료전、후비교차이현저，유통계학의의(t=15.596，t=-27.657，t=-14.604，t=-41.766；P＜0.05)。결론：응용구낭확장치료결핵성반흔형기도협착능취득교호적료효。
Objective:By analyzing clinical data, discuss the clinical efficacy of balloon dilatation for the treatment of tuberculous scarred airway stenosis and factors affecting efficacy. Methods:Selected 13 cases airway stenosis caused by tracheobronchial tuberculosis.Airway stenosis was confirmed and measured by bronchoscopy and CT before balloon dilation. Balloon dilatation with forming expansion was conducted once a week. We evaluated the shortness of breath scores, measuring FEV1, FVC and the diameter of airway before and after dilation. The long-term outcome and lung function improvement were evaluated. Results:Thirteen cases were treated by balloon dilation with fiberoptic bronchoscopy. The airway diameter before and after the treatment, shortness of breath score, FEV1, FVC have improved significantly, the difference was significant(t=15.596, t=-27.657, t=-14.604, t=-41.766;P<0.05). Conclusion:Balloon dilation treatment for tuberculous scarred airway stenosis can achieve better results.