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球囊扩张术治疗结核性支气管狭窄的疗效分析

Effect of fiberoptic bronchoscopic balloon dilatation for tubercular bronchial stenosis

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【作者】 黄汉平张丽陈惠冬靖秋生

【Author】 HUANG Hanping,ZHANG Li,CHEN Huidong,JING Qiusheng.Anti-tuberculosis Hospital of Wuhan,Wuhan 430083,Hubei

【机构】 湖北省武汉市结核病医院

【摘要】 目的观察和分析经纤维支气管镜(纤支镜)球囊扩张术治疗结核性支气管狭窄的的疗效。方法将2002年至2004年间我院收治的76例结核性支气管狭窄的患者分为两组:对照组41例,给予抗结核方案治疗和纤支镜镜检;治疗组35例,除给予对照组相同的治疗外,另给予1~4次球囊扩张术治疗。结果对照组显著好转5例(12%),好转10例(24%),好转率36%;治疗组显著好转30例(86%),好转5例(14%),好转率100%,差异有统计学意义(P<0.01)。结论球囊扩张术是治疗结核性支气管狭窄的一种简便、有效的治疗手段,值得临床推广。

【Abstract】 Objective To evaluate the effect of fiberoptic bronchoscopic balloon dilatation for tubercular bronchial stenosis.Methods The retrospective analysis had been done for the 76 patients with tubercular bronchial stenosis from 2002 to 2004.They were separated into two groups:observe group,35 cases,were treated with fiberoptic bronchoscopic balloon dilatation;and control group,41 cases,were treated with chemotheraphy,but without balloon dilatation.Results There were 41 cases in control group: 5 cases got very obvious effect(12%),and 10 cases got obvious effect(24%).The rate of improvement was(36%).There were 35 cases who had liver damage in observe group:the effect of 30 cases was very obvious(86%),and other 5 cases also got obvious effect(14%).The rate of improvement was 100%,higher than thatin control group.Conclusion Fiberoptic bronchoscopic balloon dilatation is a simple but effective treatment approach for tubercular bronchial stenosis.

  • 【分类号】R521.2
  • 【被引频次】11
  • 【下载频次】63
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