肺结核空洞合并支气管内膜结核临床化疗与支气管填塞疗效的比较分析

The comparative analysis of pulmonary tuberculous cavity combined with endobronchial tuberculosis: clinical efficacy of chemotherapy and intrabronchial filing treatment

目的：探讨肺结核空洞合并支气管内膜结核临床化疗与支气管冲洗填塞疗效的比较。方法：选取经CT、CR和纤维支气管镜，痰涂片等病理证实的总数为156例，男82例，女74例，年龄21—56岁。分为二组，A组78例为支气管填塞组，B组78例为化疗组。各选：①干酪空洞26例；②纤维空洞22例；③薄壁空洞27例；④硬变空洞3例。结果：在所有各型肺结核空洞中，B组78例化疗组中，达到闭塞性空洞愈合和开放性空洞愈合41例，疗效52．6％（41／78）。A组78例支气管冲洗填塞疗法中，达到闭塞性空洞愈合和开放性空洞愈合72例，疗效92．3％（72／78），而且比单纯化疗疗程缩短2—3个月，治愈率比单纯化疗组高39．8％。结论：支气管冲洗填塞治疗肺结核空洞合并支气管内膜结核疗效优于临床单纯化疗。

Objective： Exploring the efflcacy of tuberculous cavity combined with endobronchial TB by chemotherapy and endobronchial filling method. Methods： Selecting by CR, CT and bronchial endoscope, pathological phlegm smear, total of 156 confirmed cases, 82 were male, female 74, aged 21- 56 years. Divided into two groups, 78 cases of bronchial filling groups, 78 cases of chemotherapy group. The election： ① cheese cavity 26 cases; ② fiberous cavity 22 cases; ③thin wall cavity 27 cases,④three cases sclerotic cavity. Results： In all types of tuberculousis, A group of 78 cases chemotherapy group, efficacy of 52.56% （41/78） group B in all 78 cases bronchial therapy, cavity heal up 72, efficacy 92.31% （72/78）, and as pshortened than simple chemotherapy group 2-3 months, the higher rate than 39.75% of pure chemotherapy group, Conclusion： Bronchial washing and filling treatment of tuberculosis in all is superior than simply chemotherapy.