【摘要】 目的 通过支气管镜观察以顽固性咳嗽为表现的支气管结核治疗效果。方法 对36例以顽固性咳嗽为表现的支气管结核住院患者进行药物治疗,治疗前后分别行支气管镜检查。结果 治疗9个月后临床症状、痰菌阴转率及肺不张治愈率均达到100%,胸片病灶有效率85.7%,支气管镜复查病变支气管总有效率75.0%,疗效较好。结论 通过支气管镜评价支气管结核治疗疗效是一种有效的方法,具有安全、并发症少、患者易接受等优点。

    【关键词】顽固性咳嗽;支气管结核;支气管镜;治疗疗效

    Analysis of therapeutic effect of 36 endobronchial tuberculosis for chronic cough bybronchoscopy

    LV Pei-jin, CAO Zi-yang, WANG Li-qin.The Second People’s Hospital affiliated to Taishan Medical Universityof Liaocheng,Linqing 252600,China

    【Abstract】 Objective To analysis of therapeutic effect of endobronchial tuberculosis for chronic cough bybronchoscopy.Methods 36 inpatients with endobronchial tuberculosis were treated with drug-infusing therapy.All cases were exiamed bybronchoscopybefore and after treatment.Results After 9 months of treatmemt,the clinical manifestation,the sputum negative conversion rate and the pulmonary atelectasis cure rate were 100%.The improvement rate by X-ray was 85.7%and 75.0%bybronchoscopy.Conclusion To analysis of therapeutic effect of endobronchial tuberculosis bybronchoscopy is an effectivemethod,and it has many merits,such as safe,low complication,easy to accept. ......