64例气管支气管结核临床分析

A clinical analysis of 64 cases of tuberculosis of trachea and bronchus

目的探讨气管支气管结核的临床特点。方法对我院2016年1月~2018年12月的64例气管支气管结核患者的临床资料进行分析。结果气管支气管结核临床表现不典型;37例气管镜治疗组1个月好转14例(37.84%),27例单纯化疗组患者1个月好转6例(22.22%),两组痰菌好转率比较,差异有统计学意义(P=0.032,P<0.05)。37例气管镜治疗组气管镜术后发生不良反应:发热、胸痛、咯血6例(16.22%)。结论气管镜在发现、治疗气管支气管结核有重要作用。

Objective To analyze the clinical characteristics of tuberculosis of trachea and bronchus.Methods The clinical data of 64 patients with tuberculosis of trachea or bronchus admitted to our hospital from 2016 to 2018 were analyzed.Results The clinical manifestation of tuberculosis of trachea and bronchus was not typical.37 cases of tracheoscopy group improved in one month,14 cases(37.84%),27 cases of chemotherapy group improved in one month,6 cases(22.22%),the difference between the two groups was statistically significant(P=0.032,P<0.05).In 37 cases of tracheoscopy group,6 cases(16.22%)suffered from fever,chest pain and hemoptysis.Conclusion Bronchoscope plays an important role in the detection and treatment of tuberculosis of trachea and bronchus.