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目的评价与分析经纤维支气管镜给药结合全身抗结核治疗对支气管内膜结核的治疗效果。方法支气管内膜结核患者在进行全身规范抗结核治疗的同时经支气管镜局部清洗给药,与单纯全身抗结核治疗两组临床疗效进行比较。结果两组治疗后对比,第1个月:治疗组总有效率78.13%,对照组例总有效率46.88%;第2个月:治疗组总有效率90.63%,对照组总有效率65.63%;第3个月:治疗组总有效率96.88%,对照组总有效率78.13%。两组比较,治疗组的总有效率均高于对照组(P<0.05)。结论支气管内膜结核经全身抗结核治疗辅以支气管镜局部给药,疗效显著优于单纯全身抗结核治疗。使用支气管镜治疗支气管内膜结核,只要掌握好适应证并规范操作,可明显提高疗效、缩短病程,值得在临床上广泛应用。
Objective To evaluate and analyze the therapeutic effect of bronchofibroscopy combined with systemic antituberculous therapy on bronchial endometrial tuberculosis. Methods Patients with endobronchial tuberculosis were treated with systemic normotensive TB while given local bronchoscopy. The clinical efficacy was compared with that of simple systemic antituberculous therapy. Results The first month after treatment, the total effective rate was 78.13% in the treatment group and 46.88% in the control group. In the second month, the total effective rate was 90.63% in the treatment group and 65.63% in the control group. The third month: the total effective rate was 96.88% in the treatment group and 78.13% in the control group. The two groups, the total effective rate of the treatment group were higher than the control group (P <0.05). Conclusions Bronchial endometrial tuberculosis is treated with systemic antituberculous therapy combined with bronchoscopy locally, and the curative effect is significantly better than that of systemic antituberculous therapy alone. The use of bronchoscopy for the treatment of endobronchial tuberculosis, as long as the indications and standardized operation, can significantly improve the efficacy and shorten the course of the disease, it is widely used in clinical.