纤维支气管镜球囊扩张术治疗支气管狭窄52例临床分析  

作　　者：梁新[1] 张宏伟[1] 李荣凯[1] 

机构地区：[1]新乡市第一人民医院呼吸与危重症科,河南453000

出　　处：《当代医学》2013年第11期51-53,共3页Contemporary Medicine

摘　　要：目的评价纤维支气管镜下球囊扩张术治疗支气管狭窄的疗效和安全性。方法选取52例支气管狭窄患者接受纤维支气管镜介导下球囊扩张术治疗,于术前和最后一次球囊扩张术后当天,观察所有患者治疗前后气道直径、血气分析、FEV1及气促评分的变化,评价并发症的发生情况,并对患者进行必要的随访。结果 52例患者分别接受球囊扩张术1～6次,平均(1.9±1.7)次。狭窄支气管的直径由治疗前的(2.28±1.45)mm增加至(5.89±1.42)mm,血气指标均较治疗前明显改善,FEV1由术前的(1.1±0.6)L增至术后的(1.9±0.4)L,气促评分由术前的(2.13±0.65)减至术后的(0.63±0.39),治疗前后各指标比较,差异均有统计学意义(P<0.01)。结论纤维支气管镜下球囊扩张术是治疗支气管狭窄的安全有效的方法,值得临床推广应用。Objective To assess the effect of balloon dilatation through fiberoptic bronchoscopy in the treatment of bronchial stenosis. Methods Fifty-two patients with bronchial stenosis were treated by balloon dilatation through fiberoptic bronchoscopy. Airway diameters, dyspnea index were evaluated in all of the patients and FEV1 was tested in all of the patients. Results One to six operations （1.9±1.7） were required to achieve satisfactory dilatation. After balloon dilatation,the average airway diameter increased from （2.28±1.45） mm to （5.89±1.42） mm. FEV1 was increased from （1.1±0.6） L to （1.9±0.4） L （P〈0.01）. Dyspnea index decreased from （2.13±0.65） to （0.63±0.39） （P〈0.01）. Conclusion Balloon dilatation through fiberoptic bronchoscopy is an effective method to treat bronchial stenosis.

关 键 词：纤维支气管镜 支气管狭窄 球囊扩张 

分 类 号：R521.2[医药卫生—内科学]