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目的探讨肺结核合并支气管内膜结核的临床治疗方法和特点。方法将30例入选患者随机分为观察组和对照组,每组15例,分别采用全身抗结核药物联合雾化吸入治疗和单纯全身抗结核药物治疗,观察痰菌转阴率,并统计总有效率。结果观察组1、2、3个月痰菌转阴率均高于对照组,差异有统计学意义(P<0.05)。治疗9个月后,观察组总有效率为100.0%,对照组为73.3%,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论对肺结核合并支气管内膜结核患者采用全身和局部治疗相结合的方法近期疗效显著,痰菌转阴率高,治疗方法与单纯肺结核有一定的差异。
Objective To investigate the clinical treatment and characteristics of pulmonary tuberculosis complicated with endobronchial tuberculosis. Methods Thirty patients were randomly divided into observation group and control group, with 15 cases in each group. The patients were treated with systemic anti-tuberculosis drugs combined with inhalation and systemic antituberculous drugs respectively. The rates of sputum negative conversion were observed. effectiveness. Results The negative conversion rate of sputum in the observation group 1, 2, and 3 months were higher than that of the control group, the difference was statistically significant (P <0.05). After 9 months of treatment, the total effective rate was 100.0% in the observation group and 73.3% in the control group. The total effective rate in the observation group was higher than that in the control group (P <0.05). Conclusion The combination of systemic and local treatment of pulmonary tuberculosis with endobronchial tuberculosis in patients with immediate effect is significant, the sputum negative conversion rate is high, the treatment method and tuberculosis have some differences.