高频电刀联合球囊扩张及冷冻术治疗支气管结核管腔闭塞型的疗效观察  

Efficacy of high-frequency electrotome combined with balloon dilatation and cryotherapy through electronic bronchoscope in the management of lumen occlusion type of tracheobronchial tuberculosis

作　　者：罗莉 罗林紫 卢志斌 肖阳宝 Luo Li;Luo Linzi;Lu Zhibin;Xiao Yangbao(Endoscopy Center,Hunan Chest Hospital,Changsha 410013,China)

机构地区：[1]湖南省胸科医院内镜中心,长沙410013

出　　处：《中华结核和呼吸杂志》2023年第6期587-591,共5页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：湖南省临床医疗技术创新引导项目(2020SK50701);湖南省临床医疗技术创新引导项目(2021SK50701)。

摘　　要：管腔闭塞型气管支气管结核是最严重的结核性气管支气管狭窄的类型,常导致患者肺不张甚至肺毁损。部分患者需手术行病变气道及肺切除术,严重影响其生存质量甚至生命危险。本文通过回顾性分析30例湖南省胸科医院收治的管腔闭塞型气管支气管结核患者病例资料,分析并总结其经支气管镜下高频电刀联合球囊扩张及冷冻术治疗取得较好疗效的经验,以提高支气管镜医生对管腔闭塞型气管支气管结核的治疗能力。The lumen-occlusion type of tracheobronchial tuberculosis is the most severe type of tracheobronchial stenosis of tuberculosis,often leading to atelectasis or even lung damage in patients.Some patients require surgical resection of the diseased airways and lungs,which can seriously affect their quality of life and even be life-threatening.In order to improve the treatment ability of bronchoscopy physicians for lumen occlusion type of tracheobronchial tuberculosis,this article retrospectively analyzed 30 cases of tracheobronchial tuberculosis with lumen occlusion in Hunan Chest Hospital,and summarized the experience of achieving better results by high-frequency electrotome combined with balloon dilatation and cryotherapy.

关 键 词：气管支气管结核 冷冻术 生命危险 球囊扩张 肺切除术 支气管镜 高频电刀 生存质量 

分 类 号：R523[医药卫生—内科学]