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目的:研究在本院就诊的支气管内膜结核(endobronchial tuberculosis,EBTB)患者的临床表现及疗效。方法:选择本院收治的EBTB患者70例,分析患者临床表现、影像学征象、纤维支气管镜检查结果;患者给予2HRZE(S)/4HR抗结核方案治疗的同时结合局部介入治疗。结果:患者治疗两个月后临床表现总有效率为94.29%(66/70);纤支镜下改变总有效率为85.71%(60例/70例);X线表现总有效率为80.00%(56例/70例)。结论:患者及早诊断,并采用2HRZE(S)/4HR抗结核方案加用局部介入治疗具有较佳疗效。
Objective: To study the clinical manifestation and curative effect of patients with endobronchial tuberculosis (EBTB) treated in our hospital. Methods: Seventy patients with EBTB admitted to our hospital were enrolled in this study. The clinical manifestations, radiological features and bronchoscopy were analyzed. The patients were given 2HRZE (S) / 4HR anti-TB regimen combined with local intervention. Results: The total effective rate of clinical manifestation was 94.29% (66/70) two months after treatment. The total effective rate was 85.71% (60 cases / 70 cases) under bronchofiberscopy. The total effective rate was 80.00% (56 cases / 70 cases). Conclusion: Early diagnosis of patients and the use of 2HRZE (S) / 4HR anti-TB regimen combined with local intervention have better efficacy.