经纤维支气管镜球囊扩张术治疗结核性支气管狭窄  

Fiberoptic bronchoscopic balloon dilatation for tubercular bronchial stenosis

作　　者：陈慧冬[1] 陈行珍 龚桂芳[1] 

机构地区：[1]武汉市医疗救治中心,湖北武汉430023

出　　处：《临床肺科杂志》2011年第1期65-67,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨经纤维支气管镜(纤支镜)球囊扩张治疗结核性支气管狭窄的疗效及安全性。方法对32例结核性支气管狭窄患者实施经纤支镜球囊扩张术,于术前和最后一次球囊扩张术后当天,对狭窄段支气管直径、FEV1进行测定,并对患者进行9个月随访。结果扩张后发现混合性狭窄较常见,左主支气管狭窄长度超过2 cm的有9例。扩张后有29例(90.6%)支气管径超过正常管径1/2,含中心气道狭窄的26例患者中有23例(88.5%)通气改善率为阳性,单纯段支气管狭窄患者扩张前后通气功能无变化。所有病例无严重并发症发生。经9个月随访,远期疗效达68.8%。结论经纤支镜球囊扩张术治疗结核性支气管狭窄是一项简便、有效、安全的方法,值得临床推广。若疗效欠佳,必要时可联用其他治疗。Objective To evaluate the efficacy and safety of fiberoptic bronchoscopic balloon dilatation for tubercular bronehial stenosis.Methods 32 patients with tubercular bronehial stenosis were treated by balloon dilatation through flexible fiberoptic bronchoscopy.Before the procedure and immediately after the last operation,airway and FEV1 were tested.Results The mixed stenosis after dilatation are usually found.There were 9 cases of patients whose stenosis length of left main bronchus are more than 2 cm.After dilatation,there were 29 cases（90.6%） whose bronchus diameters overstep 1/2 of normal bronchial.In the 26 patients whose central airways were stenosis,there were 23（88.5%） patients＇ ventilation improve rate were positive.The ventilatory function had no significant changes between the before and after dilation.No severe applications were found in these patients.After following for 9 months,long-term effect is 68.8%.Conclusions Fiberoptic bronchoscopic balloon dilatation is a simple,safe and effcctive method to treat tubercular bronchial stenosis,and is valuable to spead.If the effect poor,we can use other treatment when necessary.

关 键 词：支气管镜 球囊扩张 结核 气道狭窄 

分 类 号：R521.2[医药卫生—内科学]