支气管结核单纯化疗和介入综合治疗近期效果观察

目的　探讨经支气管镜介入局部注药及高频电清除的方法 治疗支气管结核的效果。方法 97例支气管结核病人在全身抗结核治疗基础下随机分为3组,即单纯化疗、支气管镜下进行高频电治疗和局部注药介入治疗进行近期效果观察。结果 高频电组:平均治疗1.8次,有效率97.7%;局部注药组。平均治疗9.1次,有效率88.5%;单用抗结核治疗,有效率55.5%。结论 支气管结核临床易漏诊,经支气管镜介入局部注药或高频电加局部注药治疗均有良好的治疗效果,而后者更快速有效。

Research on the efficacy of the standard treatment combined with the intervened general therapy in treating bronchial tuberculosis

Objective To explore the clinical effects of using bronchoscope to inject drug in the location and high frequent electro-cut method for bronchial tuberculosis(BTB).Methods Ninety-seven BTB patients who were diagnosed and on standard treated were randomly divided into 3 groups,and were combined with the treatment with bronchoscope intervention of drug injection and high frequent electro-cut.Efficacy was assessed and followed up after treatment.Results In the high frequent electro-cut group,the caseous necrotic mass and acestoma in the bronchi were cleaned away through the bronchoscope high frequency electric,and injected INH and gentamycin.This group’s average treatment frequency was 1.8 times and the total effective rate was 97.7%.In the local injection group,INH and gentamycin were used to lavage the focus locally after bronchial secretion was cleaned by bronchoscope.The average treatment frequency was 9.1 times and the total effective rate was 88.5%.The Control group’s effective rate was 55.5% which was only used the standard anti-TB treatment.Concluction BTB is easily to be miss in the diagnosis,and the treatment outcome of the standard anti-TB treatment was poor.However,the bronchoscope intervention of drug injection and high frequent electro-cut are more inexpensive,faster,more effective and safer.