论文部分内容阅读
目的:探讨多方法联合介入治疗支气管结核的有效性和安全性。方法:329例支气管结核患者根据镜下不同类型采取多种方法联合介入治疗。结果:329例强化阶段2个月结束时痰菌阴转289例(87.8.%),炎性浸润、溃疡及干酪坏死消除78/80例(97.5%),肉芽组织增生消除63/70例(90%),气道瘢痕狭窄明显改善26/32(81%),管壁软化明显好转7/15(46.6%),肺不张或肺膨胀不全总有效率82/105(78.1%)。6个月后痰菌全部转阴(100%),6个月后炎性浸润、溃疡及干酪坏死肉芽组织增生消除达97.9%,管壁软化好转85.2%,肺不张治愈率95.8%,疗效确切。结论:通过电子支气管镜多方法联合介入治疗支气管结核是一种有效的方法、安全、并发症少、病人易接受等优点。
Objective: To explore the effectiveness and safety of multi-method combined with interventional treatment of bronchial tuberculosis. Methods: A total of 329 cases of bronchial tuberculosis patients underwent multiple interventions according to the different types of microscopy. Results: 289 cases (87.8%) of sputum negative conversion at the end of the intensive stage of 2 months, 78/80 cases (97.5%) of inflammatory infiltration, ulcer and cheese necrosis, 63/70 cases of granulation tissue hyperplasia 90%). The stenosis of the airway was significantly improved by 26/32 (81%), the softening of the wall was markedly improved by 7/15 (46.6%), and the total effective rate was 82/105 (78.1%) with atelectasis or pulmonary insufficiency. Six months later, the sputum was completely negative (100%). Inflammatory infiltration, ulceration and necrosis of granulation tissue were eliminated by 97.9% and 85.2% after 6 months. The cure rate of atelectasis was 95.8%. exact. Conclusion: Interventional treatment of bronchial tuberculosis by electronic bronchoscopy combined with multiple methods is an effective method, which has the advantages of safety, less complications and patient acceptance.