经支气管镜治疗淋巴结瘘型支气管结核

发布时间：2018-05-29 14:08

本文选题：气管镜 + 支气管结核　；参考：《中国内镜杂志》2015年06期

【摘要】：目的探讨经电子支气管镜下介入治疗淋巴结瘘型支气管结核的安全性、有效性。方法回顾性分析2008年10月-2012年10月在山东省胸科医院呼吸内镜诊疗室43例淋巴结瘘型支气管结核患者的临床资料及介入治疗效果。43例患者均有不同程度气道阻塞情况,予以电子支气管镜下二氧化碳冷冻切除及淋巴结内针吸穿刺注药治疗。比较治疗前后狭窄气道改善情况,评价治疗的次数、时间及效果等。结果 43例气管镜下介入治疗患者,其中,男性22例,女性21例;平均年龄(28.5±12.7)岁,介入治疗中位次数为5(3~18)次,平均治疗天数(86.7±67.2)d。经治疗后总有效率100%,气道狭窄管腔均有不同程度改善,原气管、支气管内病变绝大部分吸收,复查气管镜可见管腔通畅,少数患者黏膜瘢痕形成及色素沉着,未有支气管瘘、大出血等严重并发症发生。结论支气管镜下二氧化碳冷冻切除联合淋巴结内穿刺注药治疗淋巴结瘘型支气管结核是一种有效、安全的微创方法,可有效缓解气道阻塞情况。
[Abstract]:Objective to evaluate the safety and efficacy of endobronchial interventional therapy for lymph node fistula bronchial tuberculosis. Methods from October 2008 to October 2012, the clinical data of 43 patients with bronchial tuberculosis with lymph node fistula in the Respiratory Endoscopic Clinic of Shandong chest Hospital and the effect of interventional therapy in 43 patients with bronchial tuberculosis were retrospectively analyzed. The patients were treated with electron bronchoscopic carbon dioxide freezing excision and intralymph node aspiration. To compare the improvement of stenosis airway before and after treatment, and to evaluate the times, time and effect of treatment. Results 43 patients were treated by endoscopy, of whom 22 were male and 21 were female, the average age was 28.5 卤12.7years old, the median number of interventional therapy was 31.8 times, the average treatment time was 86.7 卤67.2 days. After treatment, the total effective rate was 100%, the narrow airway lumen was improved to some extent, most of the original trachea and bronchus lesions were absorbed, the tracheoscopy showed the lumen unobstructed, a few patients had mucosal scar formation and pigmentation, and there was no bronchial fistula. Severe complications such as massive hemorrhage occurred. Conclusion it is an effective and safe minimally invasive method to treat bronchial tuberculosis with lymph node fistula by carbon dioxide freezing resection under bronchoscope combined with intralymph node puncture injection. It can effectively relieve airway obstruction.
【作者单位】：山东省胸科医院呼吸内镜诊疗科;山东省医学科学院;
【基金】：山东省医药卫生科技发展计划项目
【分类号】：R521.1

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