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目的:探讨低温冷冻治疗在支气管内膜结核治疗中的应用。方法:78例支气管内膜结核病人,在规则化疗基础上,应用纤维支气管镜下进行低温冷冻治疗,追踪观察临床疗效。结果:78例患者中70例分别属于炎症、溃疡和肉芽增生型,8例属于瘢痕狭窄型。70例非瘢痕狭窄型患者在多点多处单纯冷冻治疗后,症状明显改善、气道恢复通畅、影像学改变明显;8例瘢痕型患者冷冻治疗无效。结论:低温冷冻治疗在支气管内膜结核治疗上有着良好的应用前景。
Objective: To investigate the application of cryogenic cryotherapy in the treatment of bronchial endometrial tuberculosis. Methods: 78 cases of endobronchial tuberculosis patients, on the basis of regular chemotherapy, the application of fiberoptic bronchoscopy cryogenic cryotherapy, follow-up observation of clinical efficacy. Results: Seventy of the 78 patients were classified as inflammatory, ulcer and granulomatous hyperplasia, respectively. Eight patients belonged to scarred type. 70 cases of non-scar stenosis patients were treated with simple cryotherapy multiple points, the symptoms improved significantly, airway recovery was unobstructed, the imaging changes obviously; 8 cases of cataract patients cryotherapy was ineffective. Conclusion: Cryo-freezing treatment has a good application prospect in the treatment of bronchial tuberculosis.