经纤维支气管镜介入技术在结核性支气管狭窄治疗中的应用  

Effect of interventional treatment by fiberoptic bronchoscopy on the patients with turbercular bronehial stenosis

作　　者：周锐[1] 陈平[1] 郑东元[1] 刘志军[1] 吕友堤[1] 罗红[1] 向旭东[1] 

机构地区：[1]中南大学湘雅二院呼吸科,湖南长沙410011

出　　处：《中国内镜杂志》2004年第7期55-57,共3页China Journal of Endoscopy

摘　　要：目的观察经纤维支气管镜(纤支镜)介导下局部微波烧灼、球囊扩张及支架植入治疗结核性气道狭窄的应用价值.方法对200年10月～2002年7月进行的15例结核性支气管狭窄病人进行纤支镜下微波烧灼、球囊扩张及支架植入的综合治疗,分别测定治疗前及治疗20个月后患者一秒用力呼吸容积(FEv1)及呼吸困难指数改善情况.结果15例支气管结核狭窄病人经纤支镜下局部微波烧灼、球囊扩张治疗,其中3例给予支架植入治疗,气促症状明显改善,呼吸困难指数由治疗前1.94±0.77降低到0.66±0.51(P＜0.05);FEv1明显增加,由治疗前(1.89±0.28)L增加到(2.57±0.38)L(P＜0.01),未见有严重的并发症.结论纤支镜介入技术治疗结核性支气管狭窄能明显改善患者肺通气功能,缓解气促症状,有较好的临床疗效,是一种安全有效的治疗方法.Objective: To observe the effect of treating tubercular airway stenosis with microwave, balloon dilatation and bronchial stent by fiberoptic bronchscope. Methods: Fifteen patients suffering from bronchial stenosis caused by tuberculosis were treated with microwave and balloon dilation, three of which were implanted with brochial stent through fiberoptic bronehoscopy. Microwave treatment and balloon dilation were repeated if necessary. Before and after 20 months of the treatment, the dyspnea index and FEV1 were evaluated. Results: Breathless in patients was relieved obviously and lung function was improved. Dyspnea index decreased from (1.94±0.77) to (0.66±0.51) (P <0.05) FEV1 increased from (1.89±0.28) (L) to (2.54±0.38) (L) (P <0.01). No severe complications occurred in the patients. Conclusion: Treatment with mircrowave, balloon dilation and stent though fiberoptic bronchoscopy is a safe and effective methods to treat tubercular bronchial stenosis.

关 键 词：气道狭窄 支气管镜 

分 类 号：R562[医药卫生—呼吸系统]