经纤维支气管镜介入治疗耐多药肺结核并支气管结核的临床观察

Clinical Observation of Fiber Bronchoscope Involved in Treatment of Drug-fast Pulmonary Tuberculosis and Bronchial Tube Tuberculosis

目的观察纤维支气管镜介入治疗耐多药肺结核并支气管结核的疗效。方法204例耐多药肺结核并支气管结核患者随机分为治疗组与对照组。治疗组在常规化疗的基础上根据不同情况每周一次纤支镜介入治疗;对照组单纯化疗。结果治疗组18个月后,痰菌阴转率为73.7%;纤支镜改善总有效率为68.7%;肺不张复张总有效率为66.7%;胸片病灶吸收总有效率为72.7%。结论纤维支气管镜介入治疗耐多药肺结核并支气管结核是一种安全的方法且临床效果好。

Objective To observe the curative effect of fiber bronchoscope involved in treatment of drug- fast pulmo- nary tuberculosis and bronchial tube tuberculosis. Methods Totally 204 patients with drug - fast pulmonary tuberculosis and bronchial tube tuberculosis were randomly divided into the treatment group and the control group. On the basis of the conventional chemotherapy, the patients of the treatment group received textile fiber bronchoscope interventional treatment onpe a week according to the different situation. The patients of the control group were given pure chemotherapy. Results After 18 months treatment, the sputum negative conversion rate, the total effective rate of improvement of fiber bronchoscope, the total effective rate of improvement of atelectasis, and the total effective rate of sternum foci absorption were 73.7 %, 68.7 %, 66.7 %, and 72.7 % in the treatment group respectively. Conclusions The interventional therapy of fiber bronchoscope in- volved in treatment of drug - fast pulmonary tuberculosis and the bronchial tube tuberculosis is safe and effective.