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目的分析68例支气管内膜结核临床特征及诊断、治疗方法和疗效。方法对68例支气管内膜肺结核患者病例资料、临床特点、诊断方法和治疗经过进行回顾性分析。结果 68例支气管结核患者经过抗结核治疗和纤维支气管镜镜下局部注入药物治疗,以及进行气道内支架植入术等治疗后,58例支气管结核患者获得痊愈,治愈率85.29%。结论支气管内膜结核的临床表现多不典型,容易漏诊和误诊,纤维支气管镜对支气管内膜结核的确诊和治疗有十分重要的意义。
Objective To analyze the clinical features, diagnosis, treatment and efficacy of 68 cases of endobronchial tuberculosis. Methods The clinical data, clinical features, diagnostic methods and treatment of 68 patients with endobronchial tuberculosis were retrospectively analyzed. Results 68 cases of bronchial tuberculosis patients after anti-TB treatment and local bronchoscopic endoscopic drug therapy, as well as airway stenting and other treatment, 58 cases of bronchial tuberculosis patients were cured, the cure rate was 85.29%. Conclusions The clinical manifestations of endobronchial tuberculosis are often atypical, easily missed and misdiagnosed, and bronchofibroscopy is very important for the diagnosis and treatment of endobronchial tuberculosis.