CAJ | 학술논문

目的：探讨支气管镜下球囊扩张治疗支气管结核气道狭窄疗效。方法：选取40例支气管结核患者为研究对象，均接受支气管镜下球囊扩张治疗，观察患者疗效，并比较治疗前及治疗后一个月患者气促指数及气道内径。结果：患者治疗有效34例，无效6例，有效率为85.0%。与治疗前比较，患者治疗后平均气道直径显著增加，气促指数显著减小。近期并发症包括创面渗血、术后胸痛、痰中带血及咯血，经对症治疗后均恢复。随访12个月。2例因气管软化球囊扩张后无明显变化，最终置入支架而完全缓解。结论：支气管镜下球囊扩张治疗支气管结核气道狭窄具有良好的疗效。
목적：탐토지기관경하구낭확장치료지기관결핵기도협착료효。방법：선취40례지기관결핵환자위연구대상，균접수지기관경하구낭확장치료，관찰환자료효，병비교치료전급치료후일개월환자기촉지수급기도내경。결과：환자치료유효34례，무효6례，유효솔위85.0%。여치료전비교，환자치료후평균기도직경현저증가，기촉지수현저감소。근기병발증포괄창면삼혈、술후흉통、담중대혈급각혈，경대증치료후균회복。수방12개월。2례인기관연화구낭확장후무명현변화，최종치입지가이완전완해。결론：지기관경하구낭확장치료지기관결핵기도협착구유량호적료효。
ObjectiveTo investigate the effect of bronchoscopic balloon dilatation in the treatment of airway stenosis bron-chial tuberculosis.Methods40 cases of endobronchial tuberculosis patients as the research object, al were treated with baloon dilation under bronchoscope, the effect was observed, and pulmonary function, blood gas index, diameter of shortness of breath and airway before and after therapy were compared.Resultsthe patients treatment was effective in 34 cases, invalid 6 cases, ef-ficiency of 85%. Compared with before treatment, mean airway diameter was significantly increased in patients after treatment, Dyspnea index decreased significantly. After treatment, lung function index FEV1 and FEV1/FVC of the patients increased significantly, Blood gas indexes of PaO2 and SaO2 increased significantly, PaCO2 was significantly decreased compared with those before treatment, there were statistically significant differences. Complications include wound bleeding, postoperative pain, blood in the sputum and hemoptysis, al were cured after treatment. Folow~up of 12~36 months, the average (26.5+3.4) months. There were 9 cases of patients with bronchial due to scar tissue hyperplasia restenosis, And then treated with baloon angioplasty + frozen or high~frequency electric knife combination therapy.Conclusionin the treatment of airway stenosis caused by bronchial tuberculosis, the bronchoscopic balloon dilatation has good effect.