复治肺结核空洞的介入治疗  

Interventional therapy of retreatment tuberculosis patients with pulmonary cavity

作　　者：黄俊明 叶巧玲 陈伟生 谢汉彬 陈尊杰 

机构地区：[1]汕头市第三人民医院,广东汕头515073

出　　处：《中国热带医学》2009年第5期801-802,862,共3页China Tropical Medicine

摘　　要：目的分析经电子支气管镜介入治疗复治肺结核空洞的临床疗效。方法治疗组采用内科化疗+结核空洞局部灌注抗结核药物凝胶介入治疗,对照组单纯采用内科规范抗痨化疗,均完成21个月治疗疗程。结果治疗组治疗21个月后痰菌阴转率89.5%,病灶治疗有效率94.7%,空洞治疗有效率92.1%,明显高于对照组71.3%,66.3%,62.5%(P<0.05),治疗组未发现与介入治疗有关的严重不良反应。结论经电子支气管镜介导下肺结核空洞局部灌注抗结核药物凝胶配合内科化疗,具有安全,并发症少,病人易接受等优点,胸片显示空洞闭合率高、病灶吸收快。Objective To analyze the clinical curative effects intervential therapy on cavitary pulmonary retreatment tuberculosis by electronic bronchial lens. Methods The patiens in treatmetn group were treated with chemotherapeutics of anti-tuberculotic plus interventional treatment by cavity infusion of anti-tuberculosis gelatin. The patients in control group were treated only with ehemotherapeutics of anti-tuberculosis drugs and for a course of 21 months in both groups. Results The suptum negative conversion rate,the effective rate of foci and the effective rate of cavity in the treatment group were 89.5%,94.7% and 92.1%,significantly highe than that of 71.3% ,66.3% and 62.5% in the control group （P〈0.05）. There was no any serious adverse reactions in the treatment group. Conclusions Chemotherapy combined with nterventional treatment is safe and effective for treatment pulmonay tuberculosis paients with pulmonary cavity.

关 键 词：肺结核 空洞 介入治疗 

分 类 号：R521[医药卫生—内科学]