应用纤维支气管镜术治疗肺结核病的疗效分析

目的：探讨应用纤维支气管镜术（纤支镜术）治疗肺结核病的疗效。方法将１８２例肺结核病患者随机分为治疗组和对照组。治疗组采用纤支镜术加全身化疗，对照组只进行全身化疗。结果（１）治疗组及对照组治疗有效率分别为４６．８％、１３．３％（Ｐ〈０．０１）；（２）支气管结核并肺不张治疗组及对照组治疗有效率分别为７２％、３２％（Ｐ〈０．０１）；（３）多耐药空洞型肺结核治疗组及对照组痰菌阴围率分别为９０％、６９％（Ｐ

Analysis on curative effect of pulmonary tuberculosis treated by fiber bronchoscope

Objective To analyze the curative effect of pulmonary tuberculosis treated by fiberbronchoscope. Methods Patients with pulmonary tuberculosis were divided into experiment and con-trol group at random. Experiment group was treated by fiberbronchoscope and general antitubercu-lotic,control group being treated only by general antituberculotic. Results The effective rate of ex-periment group and control group in tuberculoma cases was 46. 8% and 13. 3 % . respectively (P <0.01). The effective rates in endobronchial tuberculosis complicating ateleetasis and control group was72 % and 32 %, respectively (P <0. 01). The sputum negative conversion rates in multi drug-resis-tant tuberculosis and control group was 90%,and 69 %,respectively (P <0. 01 ). Cavity closure ratesin multi drug-resistant tuberculosis and control group was 35% and 9% respectively (P <0. 01 ).Conclusion Fiber bronchoscope is a new,effective method to treat pulmonary tuberculosis.