经纤维支气管镜微波治疗支气管结核的临床研究

The clinical research of microwave treat to bronchial tuberculosis checked with fiberoptic bronchoscopy

目的 探讨经纤维支气管镜微波治疗支气管结核的临床应用价值。方法 对我院1997年5月-2 0 0 4年5月,经纤维支气管镜检确诊,并选用微波治疗的支气管结核6 3例进行回顾性对比分析。结果 6 3例纤维支气管镜检前5 4例误诊,占85 .7%。确诊后,在全身和局部药物治疗的基础上加用微波治疗。经1- 3次治疗,2 8例肺不张的复张率为92 .9% ,2 3例阻塞性肺炎全部治愈;12例肺结核治疗期间出现的肺不张,复张率为6 6 .7% ;疗程结束时,痰菌全部阴转,总治愈率90 .5 % (5 7 6 3)。治疗中胸部不适或隐痛6例(9.5 % ) ,1- 2天自行消失。结论经纤维支气管镜微波治疗支气管结核,治愈率高,并发症少,值得推广。

Objective To discuss the clinical value of microwave treat to bronchial tuberculosis with fiberoptic bronchoscopy. MethodsWith the retrospective analysis of 63 cases of bronchial tuberculosis had been treated with microwave after diagnostic accuracy of fiberoptic bronchoscopy in my hospital from May 1997 to May 2004.Results 53 among 63 cases were in diagnostic mistake before fiberoptic bronchoscopy examination, which stands 85.7 percent. After 1-3 times treatment with adding microwave treat on whole and partial bodies had been cured by pharmaceuticals after diagnostic accuracy, tension rate was 92.9% in 28 cases of atelectasis, 23 cases of blocking pneumonia had been cured. The re-tension rate among 12 cases of atelectasis was 66.7%. In the end of treatment, phlegm fungus turned to the feminine. The total cured rate was 90.5%. During the treatment to 6 cases, the pain or slight pain in chest comes to disappeared in 1-2 days.Conclusion With the microwave treatment to bronchial tuberculosis checked with fiberoptic bronchoscopy, the cured rate is high and the complication is less. It is not easy to recur and the microwave treatment is worth extending.