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目的探讨大型“C”臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿的疗效。方法将12例肺脓肿患者随机分为治疗组和对照组,每组各6例。对照组患者予以止咳、化痰、抗感染及体位引流等常规治疗。治疗组患者在上述治疗的基础上加用大型“C”臂实时引导下经电子支气管镜小导管脓腔冲洗治疗。两组患者的疗程均为3周。结果对照组患者的总有效率为68.8%;治疗组患者的总有效率为100.0%,两组总有效率比较差异有统计学意义(P<0.05)。治疗组患者的住院时间、抗生素应用时间及血降钙素原恢复正常时间均较对照组明显缩短(P<0.05)。治疗组电子支气管镜治疗过程中未出现严重并发症。结论大型“C”臂实时引导下经电子支气管镜小导管脓腔冲洗治疗肺脓肿具有疗效确切、治愈率高、疗程短的特点。
Objective To investigate the curative effect of large-scale “C” arm real-time guided bronchoscopic small duct abscess flushing on lung abscess. Methods Twelve patients with pulmonary abscess were randomly divided into treatment group and control group, with 6 cases in each group. Patients in the control group were given conventional treatment of cough, phlegm, anti-infection and drainage of body position. Patients in the treatment group were treated with a large “C” arm real-time guided small bronchoscopic fistula flushing treatment based on the above treatment. Two groups of patients were treated for 3 weeks. Results The total effective rate in the control group was 68.8%. The total effective rate in the treatment group was 100.0%. There was significant difference between the two groups in total effective rate (P <0.05). The hospitalization time, antibiotic application time and recovery time of procalcitonin in treatment group were significantly shorter than those in control group (P <0.05). The treatment group electronic bronchoscopy did not appear during the serious complications. Conclusion Large-scale “C” arm guided by real-time electronic bronchoscope small duct abscess flushing treatment of lung abscess has a curative effect, high cure rate, short course of treatment.