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目的探讨氩等离子体凝固(APC)及冷冻等治疗支气管结核。方法24例患者中男5例,女19例。发生于左侧支气管15例,右侧9例,其中3例合并主气管病变。给予气管镜下APC+冷冻等治疗。结果11例干酪坏死型及增殖型结核经治疗后10例痊愈。6例瘢痕型中4例痊愈,2例失败。7例置入裸支架中5例支架取出(痊愈4例,好转1例),另2例失败。结论APC结合冷冻治疗支气管结核,安全有效。
Objective To investigate argon plasma coagulation (APC) and cryotherapy for bronchial tuberculosis. Methods 24 cases of patients in 5 males and 19 females. Occurred in the left bronchial in 15 cases, right in 9 cases, of which 3 cases of main tracheal disease. Give bronchoscopy APC + cryotherapy. Results 11 cases of necrosis of cheese and proliferative tuberculosis 10 cases recovered after treatment. Four of the 6 cases were cured and 2 failed. Five of the seven patients who were placed in bare-metal stents were removed (four were cured, one improved) and the other two failed. Conclusion APC combined with cryotherapy for bronchial tuberculosis, safe and effective.