摘要
目的探讨氩等离子体凝固(argon plasma coagulation,APC)介入治疗支气管结核的临床疗效。方法对40例确诊支气管结核的患者实施经可弯曲电子支气管镜氩气刀介入治疗,并观察其疗效。结果40例治疗1～4次,平均1.9次,经支气管镜复查,显效30例,占75%;有效10例,占25%;总有效率100%。不良反应:治疗中22例有轻微刺激性呛咳,4例感觉局部烧灼痛,未发生支气管壁坏死、穿孔、气胸、纵隔气肿等并发症。结论APC介入治疗支气管结核,在解除支气管阻塞、加速病灶的吸收及组织再生和修复方面疗效确切,痰菌阴转率及肺不张治愈率均较高,能缓解支气管狭窄后遗症,安全性高,不良反应小,有较好的临床应用价值。
Objective To observe and study the efficacy and safety of interventional therapy with APC for bronchial tuberculosis.Methods Forty patients with bronchial tuberculosis were treated by APC through flexible fiberoptic bronchoscopy.Results 1 to 4 operations(1-9) were required to achieve satisfactory APC.Apparent effect accounted for 75% and effective ones were 25%.Adverse reaction:22 patients had gentle stimulant cough,4 felt the location painful as sizzled.But there was no other complications like bronchial wall necrosis,perforation,pneumothorax or pneumomediastinum.Conclusion Treatment of bronchial tuberculosis with flexible fiberoptic bronchoscopy APC therapy is a safe and effective method.
出处
《安徽医学》
2009年第12期1427-1429,共3页
Anhui Medical Journal
关键词
氩气刀
支气管镜
介入治疗
支气管结核
Argon plasma coagulation
Flexible fiberoptic bronchoscopy
Interventional therapy
Bronchial tuberculosis
