支气管镜引导下局部无水乙醇注射治疗结核性中央气道瘢痕狭窄的效果  

Effects on tuberculous central airway scar stenosis by regional injection of dehydrated ethanol

作　　者：何芳 余红[2] 林洁如[2] 赵丽[2] 李玉彩 石庆柳 杨杰[2] 张湘燕[2] 叶贤伟[2] Fang He;Hong Yu;Jie-ru Lin;Li Zhao;Yu-cai Li;Qing-liu Shi;Jie Yang;Xiang-yan Zhang;Xian-wei Ye(Department of Respiratory Medicine,Liupanshui People’s Hospital,Liupanshui,Guizhou 553000,China;Department of Respiratory and Critical Care Medicine(Guizhou Institute of Respiratory Diseases),Guizhou Provincial People’s Hospital,Guizhou,Guiyang 550002,China)

机构地区：[1]贵州省六盘水市人民医院呼吸内科,贵州六盘水553000 [2]贵州省人民医院呼吸与危重症医学科(贵州省呼吸疾病研究所),贵州贵阳550002

出　　处：《中国内镜杂志》2018年第10期6-9,共4页China Journal of Endoscopy

基　　金：贵州省省长基金[No:黔省专合字(2012)112号];贵州省科技创新人才团队[No:黔科合人才团队(2012)4012号]

摘　　要：目的探讨支气管镜引导下局部无水乙醇注射治疗结核性气道瘢痕狭窄的效果。方法收集2011年8月-2015年10月确诊为结核性中央气道瘢痕狭窄并同意行无水乙醇治疗的患者24例,经支气管镜导入Wang氏经支气管针吸活检(TBNA)针对瘢痕部位进行无水乙醇多点注射,评估其疗效。结果治疗后,患者动脉血气分析、6 min步行距离均有不同程度改善,无严重并发症发生。结论支气管镜下无水乙醇注射治疗结核性中央气道狭窄,操作简便、疗效显著,值得临床推广。Objective To explore the treatment results of tuberculous central airway scar stenosis by regional injection of dehydrated ethanol via bronchoscope.Methods 24 patients with tuberculous central airway scar stenosis were injected with dehydrated ethanol at multiple points by bronchoscope from August 2011 to October 2015,then evaluate the theraputic effects.Results 7~15 d after the treatment,the patients’arterial blood gas analysis and 6 min walk distance had improved without severe complications..Conclusion The method to treating airway scar stenosis by injecting dehydrated ethanol under bronchoscope is easily operational with significant positive effect,which is worthy of promoting.

关 键 词：无水乙醇 中央气道 结核性瘢痕狭窄 

分 类 号：R562.12[医药卫生—呼吸系统]