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目的:观察纤支镜局部清理加镜下给药的方法治疗支气管内膜结核的临床疗效。方法:在标准化疗的基础上,进行纤支镜局部清理加镜下给药的方法40例为介入化疗组,单纯行常规标准化疗40例为单纯化疗组,治疗后对治疗效果进行比较。结果:介入化疗组治疗2个月后临床症状缓解情况,治疗6个月后痰菌阴转率、肺部病变改变情况、纤支镜下病变改变情况均优于单纯化疗组,差异有统计学意义(P<0.01)。结论:纤支镜局部清理加镜下给药对支气管内膜结核有肯定疗效。
Objective: To observe the clinical effect of local bronchofiberscopy and endoscopic administration on bronchial endometrial tuberculosis. Methods: On the basis of standard chemotherapy, 40 cases of local bronchofiberscopy and microsurgical administration were used as interventional chemotherapy group, 40 cases of simple standard chemotherapy were treated with chemotherapy alone, and the therapeutic effects were compared after treatment. Results: The clinical symptom relief after intervention in the chemotherapy group for 2 months was significantly better than that in the chemotherapy alone group after 6 months of treatment, the sputum negative conversion rate, the change of lung disease and the bronchofibroscopy lesions were statistically significant Significance (P <0.01). Conclusion: Local bronchoscope bronchoscopy and bronchial administration of endoscopic tuberculosis have a positive effect.