中国医学创新2024，Vol.21Issue(24)：151-154,4.DOI:10.3969/j.issn.1674-4985.2024.24.034
腔内介入结合硅酮支架置入术治疗Ⅳ、Ⅴ型气管支气管结核的临床研究
Clinical Study of Endovascular Intervention Combined with Silicone Stent Implantation in the Treatment of Type Ⅳ and Ⅴ Tracheobronchial Tuberculosis
摘要
Abstract
Objective:To study the clinical effect of endovascular intervention combined with silicone stent implantation in the treatment of type Ⅳ and Ⅴ tracheobronchial tuberculosis(TBTB).Method:A total of 20 patients with type Ⅳ and type Ⅴ TBTB treated in Jiangxi Chest Hospital from January 2019 to December 2023 were selected.All patients were treated with endovascular intervention combined with silicone stent implantation.The clinical effect,dyspnea degree,lung function index,blood gas analysis index,lumen diameter change and complications after treatment were observed.Result:The total effective rate of 20 patients with type Ⅳ and type Ⅴ TBTB after treatment was 95.00%(19/20).After treatment,the modified medical British Research Council scale(mMRC)score,partial pressure of carbon dioxide(PaCO2)were lower than those before treatment,and the forced expiratory volume in the first second(FEV1),arterial oxygen partial pressure(PaO2)and lumen diameter were higher than those before treatment,the differences were statistically significant(P<0.05).The complication rate of 20 patients with type Ⅳand type Ⅴ TBTB after treatment was 10.00%(2/20).Conclusion:Intracavitary intervention combined with silicone stent implantation in the treatment of type Ⅳ and type Ⅴ TBTB has a definite effect,which can reduce the degree of dyspnea in patients,improve the blood gas analysis index and lung function of patients,expand the lumen diameter,and have a low complication rate.关键词
气管支气管结核/腔内介入/硅酮支架置入术/呼吸困难程度/管腔直径/并发症Key words
Tracheobronchial tuberculosis/Endovascular intervention/Silicone stent placement/Degree of dyspnea/Lumen diameter/Complications引用本文复制引用
张学钰,应燕红,刘红莲,曾飞飞,雷亚婷,陈中书..腔内介入结合硅酮支架置入术治疗Ⅳ、Ⅴ型气管支气管结核的临床研究[J].中国医学创新,2024,21(24):151-154,4.基金项目
江西省卫生健康委科技计划项目(202130964) （202130964）
江西省教育厅科学技术研究项目(GJJ2203509) （GJJ2203509）
