经支气管镜介入冷冻术治疗支气管结核临床疗效研究(1)
【摘要】 目的：研究分析经支气管镜介入的冷冻术对支气管结核的临床疗效及应用价值。方法：选取100例支气管结核患者，经支气管镜介入冷冻术治疗上述患者的病变部位，并实施全身综合性的抗结核治疗和雾化治疗等，分析对比治疗前后的患者的症状变化状况及具体疗效等。结果：100例患者平均治疗时间6周，接受冷冻治疗(5±3)次/例，经治疗后，患者临床症状均显著改善。共70例患者显效，30例患者有效，总有效率为100%，全部患者均无显著不良反应现象。结论：经支气管镜介入冷冻术对支气管结核患者具有显著的疗效，可明显改善咳嗽、呼吸困难等症状，促进支气管等病变部位吸收改善，并可有效缓解因气管病变而造成的肺部异常症状，显著提升抗结核疗效，提高患者生命质量，值得临床上广泛使用。
【关键词】 支气管镜介入冷冻术； 支气管结核； 临床疗效
The Study of Clinical Effect by Bronchoscope in Freezing Treatment Bronchial Tuberculosis/SANG Wei-dong， YU Xia-fa.//Medical Innovation of China，2014，11(31)：139-141
, http://www.100md.com
【Abstract】 Objective： To study and analyze the application value and clinical effect through bronchoscope in the freezing technique of bronchial tuberculosis. Method： 100 patients with tracheobronchial tuberculosis were chosen， and their diseased region were treated through bronchoscope in the freezing technique of bronchial tuberculosis， meanwhile they were given implementation of comprehensive anti-tuberculosis treatment and atomization treatment. We analyzed and compared the patients’ symptoms change condition and specific curative effect in pre-therapy and post-treatment. Result： 100 patients’ average treatment time was 6 weeks， who accepted Freezing treatment (5±3)time/case， after treatment， patients with clinical symptoms were significantly improved. There were 70 patients to show an effect， 30 cases had effects， the totally effective rate was 100%， all the patients had no significant adverse reactions. Conclusion： Through bronchoscope in the freezing technique has significant curative effect in patients with bronchial tuberculosis， it can obviously improve the symptom such as cough and difficulty breathing， and make the promotion of bronchial lesions such as absorption to improve， which also effectively relief abnormalities in the lungs caused by airway lesions， what’s more， it has significant boost tuberculosis curative effect and improve patients’ quality of life， and it’s worth using widely in clinic.
, 百拇医药
【Key words】 Bronchoscopy in frozen； Tracheobronchial tuberculosis； Clinical effects
First-author’s address： The Third People’s Hospital of Jiujiang， Jiujiang 332000， China
doi：10.3969/j.issn.1674-4985.2014.31.048
支气管结核是指发生在气管支气管黏膜、黏膜下层、外膜的结核性病变，既往称为支气管内膜结核，是一种十分特殊的结核临床类型[1-3]。该病传染性极强，可导致支气管局部出现肉芽组织增生、干酪性坏死等，引起管腔发生狭窄。常规的单纯全身治疗费时较长，通常无法彻底治愈，且由于治疗时间长，常可导致支气管出现病变，进而引发如气道狭窄、肺阻塞、肺不张等现象[4]。本文旨在研究分析经支气管镜介入的冷冻术对支气管结核的临床疗效及应用价值，选取本院确诊收治的100例支气管结核患者，对其实施经支气管镜介入的冷冻术治疗，并配合全身性的综合抗结核治疗及雾化治疗，取得较为满意的效果，现将总结汇报如下。, http://www.100md.com(桑卫东 余夏发)
【关键词】 支气管镜介入冷冻术； 支气管结核； 临床疗效
The Study of Clinical Effect by Bronchoscope in Freezing Treatment Bronchial Tuberculosis/SANG Wei-dong， YU Xia-fa.//Medical Innovation of China，2014，11(31)：139-141
, http://www.100md.com
【Abstract】 Objective： To study and analyze the application value and clinical effect through bronchoscope in the freezing technique of bronchial tuberculosis. Method： 100 patients with tracheobronchial tuberculosis were chosen， and their diseased region were treated through bronchoscope in the freezing technique of bronchial tuberculosis， meanwhile they were given implementation of comprehensive anti-tuberculosis treatment and atomization treatment. We analyzed and compared the patients’ symptoms change condition and specific curative effect in pre-therapy and post-treatment. Result： 100 patients’ average treatment time was 6 weeks， who accepted Freezing treatment (5±3)time/case， after treatment， patients with clinical symptoms were significantly improved. There were 70 patients to show an effect， 30 cases had effects， the totally effective rate was 100%， all the patients had no significant adverse reactions. Conclusion： Through bronchoscope in the freezing technique has significant curative effect in patients with bronchial tuberculosis， it can obviously improve the symptom such as cough and difficulty breathing， and make the promotion of bronchial lesions such as absorption to improve， which also effectively relief abnormalities in the lungs caused by airway lesions， what’s more， it has significant boost tuberculosis curative effect and improve patients’ quality of life， and it’s worth using widely in clinic.
, 百拇医药
【Key words】 Bronchoscopy in frozen； Tracheobronchial tuberculosis； Clinical effects
First-author’s address： The Third People’s Hospital of Jiujiang， Jiujiang 332000， China
doi：10.3969/j.issn.1674-4985.2014.31.048
支气管结核是指发生在气管支气管黏膜、黏膜下层、外膜的结核性病变，既往称为支气管内膜结核，是一种十分特殊的结核临床类型[1-3]。该病传染性极强，可导致支气管局部出现肉芽组织增生、干酪性坏死等，引起管腔发生狭窄。常规的单纯全身治疗费时较长，通常无法彻底治愈，且由于治疗时间长，常可导致支气管出现病变，进而引发如气道狭窄、肺阻塞、肺不张等现象[4]。本文旨在研究分析经支气管镜介入的冷冻术对支气管结核的临床疗效及应用价值，选取本院确诊收治的100例支气管结核患者，对其实施经支气管镜介入的冷冻术治疗，并配合全身性的综合抗结核治疗及雾化治疗，取得较为满意的效果，现将总结汇报如下。, http://www.100md.com(桑卫东 余夏发)