球囊扩张术治疗结核性气道狭窄的临床价值

Clinical value of balloon dilation in the treatment of tubercular bronchial stenosis

目的探讨经纤维支气管镜球囊扩张术治疗结核性气道狭窄的临床价值。方法对22例结核性气管和支气管狭窄患者,在内镜直视下进行球囊扩张治疗,并在术前和最后一次球囊扩张术治疗后当天评价气道开放、近期疗效和肺功能改善情况。结果 22例患者经纤维支气管镜球囊扩张后临床症状明显缓解,即刻疗效达到了95.5%,狭窄段气道直径明显增大(P<0.01),气促评分明显降低,术后FEV1明显上升(P<0.05)。结论纤维支气管镜下球囊扩张治疗结核性气道狭窄能较好的改善肺通气功能,缓解气促症状,尤其以纤维疤痕为主的气道狭窄疗效好,是一种简单、安全、有效的治疗方法。

Objective To assess the clinical value of balloon dilation through fiberoptic bronchoscopy in the treatment of tubercular bronchial stenosis.Methods 22 patients with tubercular tracheobronchial stenosis were given balloon dilation through fiberoptic bronchoscopy.Their pulmonary function and short-term curative effect were evalua-ted before and after the last treatment.Results After high pressure balloon dilatation,the rate of short-term cura-tive effect was up to 95.5%.The average airway diameter,dyspnea classification and pulmonary function were all improved after balloon dilation.Conclusion Balloon dilatation through fiberoptic bronchoscopy is a simple,safe and effective method to treat tubercular bronchial stenosis.