支气管镜下球囊扩张术对结核性支气管狭窄患者肺功能的影响研究  

Study on effect of bronchoscopic balloon dilatation on lung function of patients with tuberculous bronchial stenosis

作　　者：赵岳[1] 李鹏飞[1] 安福成 ZHAO Yue;LI Peng-fei;AN Fu-cheng(Department of Respiratory and Critical Care Medicine,Mentougou Hospital,Beijing 102300,China)

机构地区：[1]北京市门头沟区医院呼吸与危重症医学科,北京102300

出　　处：《武警后勤学院学报（医学版）》2021年第12期68-70,共3页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨支气管镜下球囊扩张术(BBD)对结核性支气管狭窄患者肺功能的影响。【方法】对本院2019年1月至2021年6月收治的149例结核性支气管狭窄患者临床资料进行回顾性分析,按照治疗方法的不同划分为常规组(n=74)、手术组(n=75),分别接受常规抗结核治疗、BBD治疗。比较两组疗效、支气管直径及肺功能。【结果】手术组总有效率明显较常规组高(P<0.05);治疗后手术组支气管直径及用力肺活量(FVC)、最大呼气流量(PEF)改善效果均较常规组更明显(P<0.05)。【结论】对结核性支气管狭窄患者实施BBD治疗的效果较佳,可明显增大支气管直径,有效改善肺功能。【Objective】To investigate the effect of bronchoscopic balloon dilatation(BBD)on the lung function of patients with tuberculous bronchial stenosis.【Methods】A retrospective analysis was carried on the clinical data of 149 patients with tuberculosis bronchial stenosis accepted by our hospital during January 2019 to June 2021.According to the different treatment methods,they were divided into the conventional group(n=74)and the operation group(n=75),and received conventional anti-tuberculosis treatment and BBD treatment,respectively.The efficacy,bronchial diameter and lung function were compared between the two groups.【Results】The total effective rate of the operation group was significantly higher than that of the conventional group(P<0.05);the operation group had more obvious improvement effects on bronchial diameter,forced vital capacity(FVC)and maximum expiratory flow(PEF)than the conventional group(P<0.05).【Conclusion】The effect of BBD treatment on patients with tuberculous bronchial stenosis is better,it can significantly increase the bronchial diameter and effectively improve lung function.

关 键 词：支气管镜下球囊扩张术 结核性支气管狭窄 肺功能 

分 类 号：R562.12[医药卫生—呼吸系统]