支气管结核性气道狭窄介入治疗研究进展  

Research progress of intervention treatment in airway stenosis caused by bronchial tuberculosis

作　　者：陈善婷 郭述良[1] 

机构地区：[1]重庆医科大学附属第一医院呼吸与危重症医学科,重庆400016

出　　处：《职业与健康》2016年第3期419-422,共4页Occupation and Health

基　　金：国家"十二五"重大专项课题(2012ZX10003009);国家临床重点专科专项经费资助项目(2012-649)

摘　　要：支气管结核是发生在气管或支气管部位的结核病,是导致气道狭窄的首要原因。既往常通过外科手术来治疗气道狭窄,但由于手术治疗具有创伤大、并发症多、费用高等缺点,并且手术、围手术期准备不充分、术中风险及术后并发症等问题可能直接或间接影响患者的治疗效果及预后。近年来支气管介入技术的快速发展,为良性气道狭窄的治疗提供了新的有效方法,有望弥补上述不足,从而获得更好的治疗效果。目前大家熟知的的支气管介入技术包括微波治疗、球囊扩张成形术、冷冻疗法、高频电治疗、激光治疗、支架植入术等,然而其安全性、有效性仍存在一定争议,且尚未形成一套行之有效的治疗标准。针对上述问题,作一综述。Bronchial tuberculosis refers to the tuberculosis that occurs in trachea or bronchus, and is a leading cause of the airway stenosis. The airway stenosis is usually cured by surgery previously. But surgery has the disadvantages of large trauma, complications and high cost. Meanwhile, the perioperative inadequate preparation, intraoperative risks and postoperative complications may influence the prognosis of patients directly or indirectly. With the rapid development of interventional techniques in recent years, this technology is expected to make up for the inadequacy of surgical treatment. This technology including microwave therapy, balloon dilatation, cold therapy, high frequency electric therapy, laser therapy, stents implantation and so on. However, there still exists some disputes about its security and effectiveness, and a set of effective treatment standards has not been formed. The article reviews the researches about these problems.

关 键 词：支气管结核 气道狭窄 介入治疗 

分 类 号：R181.32[医药卫生—流行病学]