结核性支气管扩张症治疗分析(1)
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[摘要] 目的：肺结核并发支气管扩张疾病是严重危害人类健康的，本文旨在探讨搜集治疗本病的方案。方法：统计2005年1月~2008年1月在本院治疗的59例患有结核性支气管扩张症患者的临床治疗资料，其中，女性23例，男性36例，年龄在18~48岁之间，平均32.5岁。搜集并分析患者治疗期间的临床治疗方案。结果：31例患者经内科治疗有效治愈，2年内持续随访无复发；17例患者经手术治疗治愈，2年内持续随访无复发。结论：治疗结核性支气管扩张症时，患者病变范围在一个肺叶内的，应及时予以内科治疗，患者病变范围超过一个肺叶的，首先予以内科治疗，效果不明显的及时采取手术治疗。
[关键词] 结核性；支气管扩张症；治疗；手术治疗
[中图分类号] R562.2+2 [文献标识码] A [文章编号] 1674-4721(2011)12(b)-054-02
Analysis of tuberculosis bronchiectasis treatment
YE Xian, ZHOU Yinbei, TANG Jun, WANG Chenbin
Yongzhou Heart Diseases and Treatment Center of Hunan Province, Yongzhou 425000, China
[Abstract] Objective: Tuberculosis concurrent bronchiectasis disease is serious harm to human health, this paper is to explore the collection of the treatment of this disease scheme. Methods: The clinical manifestations were analyzed retrospectively by reviewing the medical records of 59 patients with tuberculous bronchiectasis. These patients were hospitalized in the pulmonary ward of Yongzhou Heart Diseases and Treatment Center of Hunan province from January 2005 to January 2008, with women in 23 cases, male in 36 cases. The age of these patients is between in 18-48 years old, an average age of 32.5 years. Collected and analyzed the clinical treatment of patients during treatment plan. Results: 31 patients after medical treatment cured, 2 years for effective follow-up without recurrence; 17 patients were cured by surgery, 2 years continuous follow-up, no relapse. Conclusion: Treatment of tuberculous bronchiectasis, patients in a disease extent in should be timely, lobectomy to medical treatment, patients more than a lobectomy disease extent of, first of all be medical treatment, the effect is not obvious take timely surgery.
[Key words] Tuberculosis; Bronchiectasis; Treatment; Operative treatment
结核性支气管扩张症病因基本上可归结于患者在患有淋巴结核、支气管内膜结核以及肺结核之后，所导致的纤维组织增生以及组织破坏，而在这些损坏、增生的纤维组织牵拉、压迫之下，使得细支气管遭受扭曲性变形、引流不畅，最终使得病变组织内部反复继发感染，使得支气管管壁纤维组织以及平滑肌遭受创伤性破坏，当患者咳嗽时，患者体内支气管管腔内压力瞬间增高，进而引发支气管管壁不可逆扩张[1-2]。因而对患有结核性支气管扩张症的患者采取正确的治疗方法则至关重要。本研究统计在本院治疗结核性支气管扩张症患者的临床治疗资料，分析患者治疗期间的临床治疗方案，现报道如下：
1资料与方法
1.1 一般资料
统计2005年1月~2008年1月在本院治疗的59例患有结核性支气管扩张症患者的临床治疗资料，其中，女性23例，男性36例，年龄18~48岁，平均32.5岁。
1.2 纳入标准
①无其他性质的呼吸道疾病既往病史 ......
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