应用纤支镜治疗支气管内膜结核30例疗效观察

THERAPEUTIC OBSERVATION OF BRONCHOFIBERSCOPE APPLICATION IN TREATING ENDOBRONCHIAL TUBERCULOSIS

目的 观察应用纤支镜治疗支气管内膜结核的疗效。方法 对照组 30例 ,应用抗结核药物化疗。治疗组 2 8例 ,在化疗基础上 ,每周 1次应用纤支镜对病变部位行支气管冲洗 ,钳夹清除坏死组织 ,沿病灶边缘行粘膜下多点注射抗结核药物。 2个月为 1疗程。结果 治疗组的显效率为39.2 9% ,总有效率为 89.2 8% ,与对照组比较 ,均具有显著性差异 (P <0 .0 1)。治疗组治疗前后在胸部X线、痰抗酸杆菌、血沉、纤支镜检查等改善方面比较也具有显著性差异 (P <0 .0 1)。结论 应用纤支镜治疗支气管内膜结核疗效肯定 ,可作为辅助治疗措施之一。

Objective To explore the curative effects of bronchofiberscope in treating endobronchial tuberculosis.Methods 30 cases in the contrast group received antituberculotic chemotherapy.28 cases in the treatment group underwent bronchial irrigation and removal of necrotic tissues with forceps holder through bronchofiberscope after their chemotherapy.Antituberculotic drugs were injected submucously along the foci,2 months as a course of treatment.Results The obvious curative rate was 39.29% and the total curative rate was 89.28%.There existed significant difference between the two groups(P<0.01).Better effects were also discovered in terms of theracic examination and other detections of sputum acid fast bacillus,blood sedimentation and bronchofiberscope(P<0.01).Conclusion Application of bronchofiberscope can be used as an accessory measure in treating endobronchial tubercuslosis.