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.

abstractsObjective To analysis of therapeutic effect of endobronchial tuberculosis for chronic cough by bronchoscopy.Methods 36 inpatients with endobronchial tuberculosis were treated with drug-infusing therapy.All cases were exiamed by bronchoscopy before 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% by bronchoscopy.Conclusion To analysis of therapeutic effect of endobronchial tuberculosis by bronchoscopy is an effective method,and it has many merits,such as safe,low complication,easy to accept.