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目的探讨介入疗法在气管、支气管结核治疗中的应用价值。方法 60例支气管结核患者随机分为治疗组(n=30例)和对照组(n=30例),2组抗结核治疗方案均为3HRZE(S)/9HRE,治疗组施以介入治疗。结果介入治疗2个月后痰培养结核分枝杆菌阴性率为94.4%(17/18),治疗12个月达100%(18/18)。X线影像学结果显示,介入治疗后3个月病灶吸收显效率为40.0%(12/30),有效率为60.0%(18/30);治疗12个月显效率为96.7%(29/30),有效率为3.3%(1/30)。空洞闭合率介入治疗后3个月为91.7%(11/12),治疗12个月达100%(12/12)。治疗结束时临床症状消失率为100%。结论应用纤支镜对气管支气管结核患者进行介入治疗,能提高治愈率,是一种安全有效的方法。
Objective To investigate the value of interventional therapy in tracheal and bronchial tuberculosis. Methods Sixty patients with bronchial tuberculosis were randomly divided into treatment group (n = 30) and control group (n = 30). The two groups were given 3HRZE (S) / 9HRE and the treatment group was given interventional therapy. Results The negative rate of Mycobacterium tuberculosis after sputum culture was 94.4% (17/18) after 2 months of intervention and 100% (18/18) after 12 months of treatment. X-ray findings showed that the effective rate of lesions was 40.0% (12/30) and the effective rate was 60.0% (18/30) at 3 months after interventional treatment. The effective rate of 12 months after treatment was 96.7% (29/30 ), The effective rate was 3.3% (1/30). Void closure rates were 91.7% (11/12) at 3 months and 100% (12/12) at 12 months after interventional therapy. The rate of disappearance of clinical symptoms at the end of treatment was 100%. Conclusion The application of fiberoptic bronchoscopy in patients with tracheobronchial tuberculosis intervention can improve the cure rate is a safe and effective method.