支气管镜介导下高频电刀治疗大气道结核的疗效评估

Analysis of high-frequency electrocautery via bronchoscopy in treatment of endobronchial tuberculosis

目的支气管镜介导下高频电刀治疗大气道结核的疗效评估。方法对132例气道内结核患者行支气管镜下腔内高频电刀治疗,观察其疗效及并发症。结果治疗后显效81例(61.3%);有效43例(32.6%),总有效率为93.9%。132例中有32例少量出血,4例中等度发热,6例有胸部不适,经吸引或局部喷洒1:2 000肾上腺素而止血。治疗后出现发热及胸部不适者经对症处理后缓解。治疗后未发生咯血、穿孔、大出血、窒息及病灶扩散等严重并发症。132例患者经治疗后管腔扩大,内径达10 mm,主支气管内径达7 mm以上。结论支气管镜介导下腔内高频电刀治疗大气管结核病是一种安全有效的治疗方法,无严重并发症。

Objective To analyze high-frequency electrocautery via bronchoscopy in treatment of endobronchial tuberculosis.Methods 132 cases of endobronchial tuberculosis were treated by high-frequency electrocautery via bronchoscopy.The therapeutic effect and complications were observed.Results After treatment,81 cases（61.3%） were significantly effective and 43 cases（32.6%） were effectual with a total cure rate of 93.9%.Among 132 cases,32 cases with minimal hemorrhage,4 cases with medium fever and 6 cases with chest discomfort.Epinephrine（1：2000）was sprayed to stop bleeding.Patients with fever and chest discomfort got improvement with comprehensive symptomatic treatment.No serious complications happen such as hemoptysis,perforation,massive hemorrhage,asphyxia and lesion diffusion etc.After treatment,lumina was enlarged in 132 patients,inner diameter reached 10mm and inner diameter of main bronchus reached over 7mm.Conclusion High-frequency electrocautery via bronchoscopy is effective and safe in treating endobronchial tuberculosis without serious compilations.