摘要目的 探讨电子支气管镜下介入治疗气管支气管结核的急性期、慢性期的疗效及不良反应.方法 回顾性分析山西医科大学第一医院经电子支气管镜下介入治疗的95例气管支气管结核患者,包括临床急性期74例,临床慢性期30例(包括由急性期治疗无效转变为慢性期9例)的治疗效果.结果 95例患者均顺利完成治疗,74例临床急性期患者以冷冻为主介入治疗后治愈率6.8%,有效率76.7%,总有效率82.4%,并发症发生率为16.2%;30例临床慢性期患者以球囊扩张为主介入治疗后显效率6.7%,有效率80%,总有效率86.7%,并发症发生率30%,均未出现严重并发症.结论采用电子支气管镜下介入治疗气管支气管结核,具有良好的疗效及较高的安全性.

abstractsObjective To investigate the efficacy and adverse reactions of electronic bronchoscope in the treatment of acute and chronic tracheobronchial tuberculosis.Methods A total of 95 patients with tracheobronchial tuberculosis treated by electronic bronchoscope were retrospectively analyzed.Among them,74 cases were acute clinical stage,30 cases were chronic clinical stage (including the transition from the ineffective acute stage to the chronic stage 9 cases) of the treatment effect.Results All the 95 patients completed the treatment successfully.The cure rate was 6.8%,the effective rate was 76.7%,the total effective rate was 82.4% and the complication rate was 16.2% in 74 cases of acute clinical stage.30 cases of clinical in patients with chronic phase,the main effective rate was 6.7% after interventional therapy. The effective rate was 80%,the total effective rate was 86.7% and the complication rate was 30%. However,no serious complications occurred. Conclusions Electronic bronchoscopic interventional treatment of tracheobronchial tuberculosis has good curative effect and high safety.