氩等离子体凝固和冷冻序贯治疗支气管结核-中国防痨杂志.PDFVIP

20112 33 2 ! 99 ! ! ! 陈志 张广宇 梁建琴 王金河 唐静 王玲玲 ( 309 100091) : 探讨经支气管镜行氩等离子体凝固和冷冻序贯治疗支气管结核的临床疗效和安全 性 经痰或支气管肺泡灌洗液抗酸染色涂片培养,影像学和支气管镜检查及病理结果确诊 36例支气管结核患者纳入观察范围, 常规抗结核化疗基础上,在支气管镜下行氩等离子体凝固和冷 冻序贯治疗, 并追踪观察治疗结果以患者治疗后的主要症状体征缓解情况,胸部X 线或CT 扫描, 支气管镜复查观察病灶大小气道黏膜管腔通畅情况为疗效判断依据,评价治疗结果, 同时观察不良 反应及并发症 36 例支气管结核患者行氩等离子体凝固序贯冷冻治疗, 平均治疗( 4∀ 2)次/ 例, 完全有效24 例(667%),部分有效10 例( 278%), 轻度有效2 例( 56%) 所有病例未见严重不 良反应及并发症 氩等离子体凝固和冷冻序贯治疗支气管结核不但可以快速使气道恢复通 畅,缓解病人临床症状,还可有效地控制肉芽增生, 使治疗后的局部组织创面光滑氩等离子体凝固 和冷冻序贯治疗支气管结核是 一种无明显并发症和不良反应, 安全有效的方法 :结核,支气管/ 治疗; 氩;冷冻疗法 : 陈志( chenzhidoctor 126. com) Sequential therapy of endobronchial tuberculosis by argon plasma coagulation and cryotherapy Chen Zhi , Zhang Gu angy u , L iang Jian qin , Wang Ji n he , Tang Jing , Wa ng Li ng ling ( Tu bercu losi s r es ear ch in st itu t e of PLA , th e 309th hosp ita l of PLA , Beij i ng 100091, Chi n a Abstract: Objective To evaluate the efficacy, indications and the possible side effects of se quential therapy of endobronchial tuberculosis by argon plasma coagulation and cryotherapy. Methods Thirtysix patients with endobronchial tuberculosisthat werediagnosedby acidfast stain and culture of sputum( bronchoalveolar lavage fluid) , radiology, bronchoscopy and pathology were studied. Sequential therapy by argonplasmacoagulation and cryotherapy were performed ontheba sis of antituberculosis chemotherapy. Efficacy and complication were assessed andfollowed up after the sequential therapy. Results Efficacy was assessed by symptoms, physical signs, radiology and bronchoscopy. Thirtysix patients with endobronchial tuberculosis were treated 4 ∀ 2 times by the sequential therapy. The signifi