气道球囊扩张治疗结核性气管狭窄的疗效分析  

Clinical efficacy analysis of fiberoptic bronchoscopic balloon dilatation for severe tubercular bronchial stenosis

作　　者：王慧[1] 傅满姣[1] 

机构地区：[1]湖南省长沙市中心医院胸科中心,湖南长沙410004

出　　处：《中国内镜杂志》2013年第7期764-766,共3页China Journal of Endoscopy

摘　　要：目的评价经支气管镜球囊扩张术治疗重度结核性气管狭窄的疗效和安全性。方法 8例重度结核性气管狭窄患者均实施经支气管镜球囊扩张术,分别于术前和最后一次术后当天测患者狭窄段气管内径、气促指数,并对术后并发症进行统计。对所有患者进行19~42个月随访。结果 8例患者分别接受气管球囊扩张术3~7次,平均（4.8±1.6）次,狭窄段气管直径增加（P〈0.05）,气促指数下降（P〈0.05）。3例患者术后胸痛,2例患者术后出现少量出血,经对症处理后均好转,无严重并发症发生。经过19~42个月随访,远期疗效可达75.0%。结论经支气管镜球囊扩张术,有利于迅速解除结核病所致的重度气道梗阻,是一项有效、安全、简便的治疗结核性气管狭窄的方法 。【Objective】To evaluate the efficacy and safety of fiberoptic bronchoscopic balloon dilatation for severe tubercular bronchial stenosis.【Methods】8 patients with severe tubercular bronchial stenosis were treated by balloon dilatation through flexible fiberoptic bronchoscopy.Before the procedure and immediately after the last operation,airway diameter and dyspnea index were tested.【Results】In all of the eight patients underwent tracheal balloon dilatation of 3~7 times（4.8 ± 1.6）,tracheal diameter was increased（P 0.05）,dyspnea index was decreased（P 0.05）.Three patients appeared chest pain and 2 patients went through small amount of bleeding post operation,but no serious complications occurred.Long-term efficacy was up to 75.0% after 19 ~42 months of follow-up.【Conclusions】Fiberoptic bronchoscopic balloon dilatation is a simple,safe and effective method to treat severe tubercular bronchial stenosis,and it is valuable to spread.

关 键 词：支气管镜 球囊扩张 结核 气管狭窄 

分 类 号：R523[医药卫生—内科学]