支气管镜下介入治疗支气管结核气道阻塞82例临床疗效分析

目的 探讨经支气管镜下介入治疗支气管结核气道阻塞的临床疗效。方法 对82例支气管结核气道阻塞的患者在全身常规抗结核治疗的同时，联用支气管镜下介入治疗，根据气道阻塞狭窄程度选择冲洗、钳夹清除、高频电凝治疗及球囊扩张术治疗，后再局部管腔内注入抗结核药物INH。结果 82例患者管腔完全通畅54例、管腔轻度狭窄26例，气道阻塞未改变2例。结论 经支气管镜下介入治疗支气管结核气道阻塞的疗效确切，能有效解除气道阻塞。

Analysis on the efficacy of airway obstruction through interventional therapy under bronchoscope in 82 patients with endobronchial tuberculosis

Objective To discuss the efficacy of airway obstruction suffered from endobronchial tuberculosis through interventional therapy under bronchoscope.Methods Eighty-two patients with airway obstruction suffered from endobronchial tuberculosis were given normal anti-tuberculosis treatment,in the same time they received interventional therapy under bronchoscope.According to the degree of obstruction,flushing,removing by forceps clip,or high-frequency electric coagulation were chosen and then isoniazid was administrated in bronchial lumens.Results Of 82 patients,54 cases had airway complete unobstruction,26 had mild airway narrow,and 2 had no improvement.Conclusion The efficacy of intervention therapy under electronic bronchoscope in patients with endobronchial tuberculosis is definite.This method has few complications,it can improves effectively the airway obstruction.