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经纤维支气管镜治疗气管支气管内膜结核
引用本文:李万成,熊瑛.经纤维支气管镜治疗气管支气管内膜结核[J].中国内镜杂志,1998,4(6):5-5,8.
作者姓名:李万成  熊瑛
作者单位:泸州医学院附属医院
摘    要:目的:研究经纤维支气管镜给药气管支气管内结核的疗效,方法:全身化疗加强化期经纤维支气管镜给药治疗结核,与单纯全身化疗16例对照,结果:治疗组肺安全复张率为94.44%,病灶吸收率为96.30%,较对照组40.00%,56.25%高(P〈0.01);治疗组瘢痕狭窄率为6.67%,较对照组55.56%低(P〈0.05)。无明显毒副反应及并发症,结论:经纤维支气管镜给药加全身化治疗气管支气管内膜结核疗效

关 键 词:气管支气管结核  纤支镜  药物疗法  内膜结核

FIBROBRONCHOSCOPIC TREATMENT FOR ENDOTRACHEOBRONCHIAL TUBERCULOSIS
Li Wancheng,Xiong Ying,Wang Wenjun,et al Affiliated Hospital,Luzhou Medical College,Luzhou,Sichuang ,P.R.China.FIBROBRONCHOSCOPIC TREATMENT FOR ENDOTRACHEOBRONCHIAL TUBERCULOSIS[J].China Journal of Endoscopy,1998,4(6):5-5,8.
Authors:Li Wancheng  Xiong Ying  Wang Wenjun  Affiliated Hospital  Luzhou Medical College  Luzhou  Sichuang  PRChina
Institution:Li Wancheng,Xiong Ying,Wang Wenjun,et al Affiliated Hospital,Luzhou Medical College,Luzhou,Sichuang 646000,P.R.China
Abstract:Object:To explore the efficacy of fibrobronchoscopic treatment for endotracheobronchial tuberculosis.Method:Twenty-seven patients with endotracheobronchial tuberculosis were treated by injection of isoniazid and amikacin through fibrobronchoscope in addition to chemotherapy,while sixteen controls were treated with chemotherapy only.Result:At the end of the second month, radiographic recovery rate was 94.44% and focus absoption rate 96.30% in the treatment group,both of which were superier to the controls (40.00% and 56.25% respectively) ( P <0.01);cicatrical stenosis rate in treatment group and control group during follow-up were 6.67% and 55.56% respectively ( P <0.05);no complication and obvious adverse reaction were observed.Conclusion Fibrobronchoscopic treatment for endotracheobronchial tuberculosis in addition to chemotherapy is better than chemotherapy.
Keywords:Tuberculosis  Endotracheobronchial treatment  Fibrobronchoscope
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