湖北民族学院学报（医学版）Issue(4)：31-33,3.
经电子支气管镜球囊扩张及冷冻联合治疗结核性支气管狭窄的疗效分析
An Analysis of Combining Electronic Bronchoscope Balloon Dilatation with Cryotherapy on Treatment of Tuberculous Bronchial Stenosis
梅永添 1方诗容 1刘碧翠 1李明伟 1覃仕鹤 1杨华1
作者信息
- 1. 湖北民族学院附属民大医院呼吸科 湖北恩施445000
- 折叠
摘要
Abstract
Objective To observe the effect and safety of combining electronic bronchoscopic balloon dilatation with cryotherapy on the treatment of tuberculous bronchial stenosis.Methods 32 patients with tuberculous bronchial stenosis in our department underwent the combined treatement with balloon dilatation and cryotherapy.Before operation and the last balloon dilata-tion and freezing the day after treatment, the stenosis bronchial diameter, FEV1 were meas-ured, then the follow-up score, shortness of breath,therapeutic effect and complications were observed.Results 32 patients with bronchoscopic balloon dilatation and cryotherapy after the combined treatment of chest tightness,dyspnea and difficulty in expectorating sputum and oth-er symptoms improved.The airway diameter of patients was ( 4.93+1.54 ) mm before treat-ment, after treatment it was (10.03+2.14) mm;dyspnea score before treatment was (2.75+0.84), after treatment it was (0.93+0.66);FEV1 before treatment was (1.56+0.47) L, after treatment it was (2.46+0.47) branch; Indicators for statistical analysis before and after treat-ment showed that the difference was statistically significant ( P<0.05) , and the serious compli-cations of pneumothorax, bleeding, bronchial wall pressure necrosis, respiratory and cardiac arrest, severe chest pain were not seen in 32 patients.Conclusion It is safe, simple and effec-tive to treat tuberculous bronchial stenosis with electronic bronchoscopic balloon dilatation and cryotherapy while avoiding pulmonary lobectomy.关键词
球囊扩张/冷冻/结核性支气管狭窄Key words
balloon dilatation/cryotherapy/tubercular bronchial stenosis分类
医药卫生引用本文复制引用
梅永添,方诗容,刘碧翠,李明伟,覃仕鹤,杨华..经电子支气管镜球囊扩张及冷冻联合治疗结核性支气管狭窄的疗效分析[J].湖北民族学院学报（医学版）,2014,(4):31-33,3.
