支气管镜介入技术在气管支气管结核所致中叶综合征治疗中的价值  

The application value of interventional bronchosopic techniques in treating the middle lobe syndrome due to tracheobronchial tuberculosis

作　　者：石倩 王蓉蓉 张广宇 陈志 SHI Qian;WANG Rang- rong;ZHANG Guang-yu;CHEN Zhi(Clinical Medicine Department of Respiration . Hebei University ( On-the-job graduate student),Department of Second Tuberculosis. PLA Institute of Tuberculosis, the Sth Medical Center of Chinese PIA Hospital. Banding 071000, China)

机构地区：[1]河北大学医学院临床医学呼吸内科,保定071000 [2]解放军总医院第八医学中心全军结核病研究所结核二科

出　　处：《中国防痨杂志》2019年第5期494-498,共5页Chinese Journal of Antituberculosis

基　　金：国家“十三五”“艾滋病和病毒性肝炎等重大传染病防治”重大专项课题(2018ZX10722-301-005).

摘　　要：目的探讨支气管镜介入技术在气管支气管结核所致中叶综合征治疗中的应用价值。方法回顾性分析2015年11月至2017年12月解放军总医院第八医学中心全军结核病研究所确诊的全部气管支气管结核所致中叶综合征118例患者的临床资料,根据是否接受支气管镜介入治疗分为观察组(82例)和对照组(36例),对118例患者的临床症状、影像学表现、支气管镜下表现、气促评级、治疗效果进行对比分析。结果观察组和对照组患者出院后6个月时的气促评级分别为(0.74±0.12)和(1.36±0.07),差异有统计学意义(P=2.791,P=0.006).观察组患者治疗后的总有效率为80.5%(66/82),对照组患者治疗后的总有效率为61.1%(22/36),两组患者治疗疗效比较差异有统计学意义(X^2= 12.743,P=0.002).结论.支气管镜介入技术可提高气管支气管结核所致中叶综合征治疗的有效率,是治疗气管支气管结核所致中叶综合征的重要手段。Objective To investigate the application value of interventional bronchosopic techniques in treating the middle lobe syndrome due to tracheobronchial tuberculosis. Methods The date of 118 cases who were diagnosed the middle lobe syndrome due to tracheobronchial tuberculosis from November 2015 to December 2017 in the 8th Medical Center of Chinese PLA General hospital were analyzed retrospectively. The patients were divided into discovery group (n = 82) and control group(n= 36) by different treatment schedules? The asymptomatic, imaging appearances, bronchoscopy? ratings of short breath and effects of treatment were compared between the two groups. Results The ratings of short breath at 6 months after discharge in the discovery group and control group was (0. 74±0. 12) and (1. 36±0. 07), respectively, and the difference was statistically significant (t=2. 791, P = 0. 006). The overall effective rate in the two groups was 80. 5%(66/82) and 61. 1%(22/36), respectively, and the difference was statistically significant (X^2= 12. 743? P = 0. 002). Conclusion The interventional bronchoscopic technique is an important treatment of patients with middle lobe syndrome due to tracheobronchial tuberculosis, and can improve the effective rate.

关 键 词：结核 气管疾病 中叶综合征 支气管镜检査 综合疗法 疗效比较研究 

分 类 号：R521[医药卫生—内科学]