摘要
目的 :探讨经纤维支气管镜注药对空洞型肺结核的治疗价值。方法 :经纤维支气管镜向空洞病灶内注入异烟肼加全身化疗治疗空洞型肺结核 30例 ,与单纯全身化疗 30例进行对照研究。结果 :经纤维支气管镜注药治疗组治疗一个月时 ,痰菌的阴转率为 96 7% ,疗程结束时病灶显效率为 1 0 0 % ,空洞闭合率为 80 % ,均显著高于单纯化疗组 (对照组 )的 80 %、80 %及 53 3 % (P <0 0 5)。结论 :经纤维支气管镜向空洞病灶内注入异烟肼加全身化疗治疗空洞型肺结核 ,疗效显著优于单纯化疗组 ,且无并发症及明显毒副作用。
Objective:To evaluate the clinical value of bronchofbroscope and intervention in the treatment of bacillary cavitary pulmonary tuberculosis.Methods:Thirty patients with bacillary cavitary pulmonary tuberculosis were treated by injecting isoniazid through bronchofibroscope in addition to chemotherapy,while 30 controls were treated by chemotherapy only.Results:At the one month after the treatment,the sputum conversion rate was 96 7%,at the end of the treatment,the radiographic improvement rate was 100% and cavityclosing rate was 80% in the treatment group,all of which were higher than the controls (80%,80% and 53 3%) respectively (P<0 05).Conclusions:The efficacy of bronchofibroscope and intervention in addition to chemotherapy is better than that of only chemotherapy in the treatment of bacillary cavitary pulmonary tuberculosis.No complications and obvious adverse reactions were observed.
出处
《中国冶金工业医学杂志》
2000年第4期203-204,共2页
Chinese Medical Journal of Metallurgical industry
关键词
空洞型肺结核
纤维支气管镜
血管外介入治疗
Tuberculosis/pulmonary
Cavitary interventional therapy
Bronchofibroscope
