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目的通过对不同类型支气管结核疗程结束后的纤支镜随访镜检,了解介入治疗对不同类型支气管结核的治疗后支气管狭窄情况,为临床提高治疗参考。方法疗程结束后进行支气管镜检,观察支气管狭窄程度。结果炎症浸润型和肉芽增殖型介入治疗后支气管狭窄发生率10%和15%,并且以轻度狭窄为主,而溃疡坏死型介入治疗后支气管狭窄发生率为55%,(P<0.05)。多为中重度狭窄。结论追踪随访结果纤维支气管镜介入治疗后重度支气管狭窄发生率较低(5%),显示支气管结核病例应积极行纤维支气管镜介入治疗。介入治疗对炎症浸润型支气管结核及肉芽增殖型支气管结核效果优于溃疡坏死型支气管结核。
Objective To understand the bronchoconstriction of different types of bronchial tuberculosis treated by interventional therapy by microscopic bronchoscopy after the end of different types of bronchial tuberculosis treatment, so as to improve the treatment for clinical reference. Bronchoscopy was performed after the end of treatment to observe the degree of bronchial stenosis. Results The incidence of bronchoconstriction was 10% and 15% after inflammatory infiltration and granulomatous proliferative interventional therapy, respectively, and was mainly mild stenosis. The incidence of bronchoconstriction was 55% after ulcerative necrotic intervention (P <0.05). Mostly moderate to severe narrow. Conclusions The follow-up results showed that the incidence of severe bronchoconstriction was lower (5%) after interventional therapy with bronchoscopy, indicating that bronchial tuberculosis should be actively treated with fiberoptic bronchoscopy. Interventional treatment of inflammatory infiltration bronchial tuberculosis and granulomatous bronchial tuberculosis better than ulcer necrosis bronchial tuberculosis.