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目的探讨介入治疗在空洞型肺结核的疗效。方法对161例经CT诊断为空洞型肺结核的患者,采用seldinger技术穿刺股动脉,行选择性支气管动脉插管,然后注入化疗药物及栓塞,观察临床症状及复查CT比较空洞变化。结果通过比较发现161例介入治疗患者和152例内科治疗患者的疗效差异,1月、3月后空洞闭合率高,咯血好转、治愈率高、复发率低。结论介入治疗空洞型肺结核具有创伤小、疗效好、费用低等优点,是一种值得推广的治疗方法。
Objective To investigate the efficacy of interventional therapy in patients with cavity-type pulmonary tuberculosis. Methods A total of 161 patients with emphysematous pulmonary tuberculosis diagnosed by CT were treated with seldinger technique to perfuse the femoral artery and intubated with selective bronchial arterial catheterization. Chemotherapy and embolization were then performed to observe the clinical symptoms and CT contrast. Results By comparing 161 cases of interventional treatment and 152 cases of medical treatment of patients with differences in efficacy, in January and March after the high void closure, hemoptysis improved, the cure rate is high, the recurrence rate is low. Conclusion Interventional treatment of tuberculosis with a small hole trauma, good effect, low cost, is a worthy of promotion of treatment.