球囊扩张术治疗结核性瘢痕型气道狭窄的疗效研究  

Balloon dilation treatment for tuberculous airway stenosis

作　　者：林淑芳[1] 丘新才[1] 陈振华[1] 

机构地区：[1]南方医科大学附属南海医院呼吸内科,广东佛山528200

出　　处：《中国医学装备》2015年第4期95-97,共3页China Medical Equipment

摘　　要：目的:探讨支气管球囊扩张术治疗结核性瘢痕为主气道狭窄的临床疗效,并对影响疗效的相关因素进行分析。方法:选择13例支气管结核引起的气道狭窄患者,术前经支气管镜和CT检查确认狭窄部位及程度,行球囊扩张成形术,每周扩张1次,并在术后评价扩张前、后气促评分,1 s用力呼气容积(FEV1),用力肺活量(FVC)及气道内径,评价近期及远期疗效和肺功能改善状况。结果:13例患者经纤维支气管镜球囊扩张术前、后的气道直径,气促评分,FEV1及FVC均有显著改善,治疗前、后比较差异显著,有统计学意义(t=15.596,t=-27.657,t=-14.604,t=-41.766;P<0.05)。结论:应用球囊扩张治疗结核性瘢痕型气道狭窄能取得较好的疗效。Objective：By analyzing clinical data, discuss the clinical efficacy of balloon dilatation for the treatment of tuberculous scarred airway stenosis and factors affecting efficacy. Methods：Selected 13 cases airway stenosis caused by tracheobronchial tuberculosis.Airway stenosis was confirmed and measured by bronchoscopy and CT before balloon dilation. Balloon dilatation with forming expansion was conducted once a week. We evaluated the shortness of breath scores, measuring FEV1, FVC and the diameter of airway before and after dilation. The long-term outcome and lung function improvement were evaluated. Results：Thirteen cases were treated by balloon dilation with fiberoptic bronchoscopy. The airway diameter before and after the treatment, shortness of breath score, FEV1, FVC have improved significantly, the difference was significant（t=15.596, t=-27.657, t=-14.604, t=-41.766;P〈0.05）. Conclusion：Balloon dilation treatment for tuberculous scarred airway stenosis can achieve better results.

关 键 词：支气管镜检查 气道狭窄 瘢痕 支气管结核 

分 类 号：R521.2[医药卫生—内科学]