|
|
|
| Effect of Bronchoscopic Balloon Dilatation combined with Local Injection of Tramcinolone Acetonide in the Treatment of Tuberculous Bronchial Stenosis |
| CAI Xiangjing, HOU Yulian, DUAN Yueting |
| Liaocheng Infectious Disease Hospital of Shandong, Shandong Liaocheng 252000, China |
|
|
|
|
Abstract Objective: To analyze the effect of bronchoscopic balloon dilatation combined with local injection of tramcinolone acetonide in the treatment of tuberculous bronchial stenosis. Methods: 120 cases of tuberculous bronchial stenosis treated in our hospital from January, 2013 to March 2016 were selected. The patients in the conventional group were treated with bronchial balloon dilatation, and the experimental group was treated with bronchoscopic balloon dilatation combined with triamcinolone acetonide injection. Results: Treatment of the experimental group and the conventional group total effective rate were 95% and 81.67%, P < 0.05; the experimental group after treatment FEV1 score and shortness of breath were significantly better than the conventional group, P < 0.05. Conclusion: The effect of balloon high pressure dilation combined with triamcinolone acetonide on tuberculous bronchial stenosis is remarkable.
|
|
|
|
|
|
[1] Kashyap S,Solanki A.Challenges in endobronchial tuberculosis:from diagnosis to management[J].Pulm Med,2014, 2014:594806.
[2] 龙发,周爱莲,李俊华,等.电子支气管镜下球囊高压扩张加曲安奈德注射治疗结核性支气管狭窄的临床研究[J].临床内科杂志,2015,32(11):782~783.
[3] 李王平,金发光,傅恩清,等.改良高压球囊扩张法对支气管结核性瘢痕样狭窄治疗的作用[J].中华肺部疾病杂志(电子版),2015,8(3):14~18.
[4] 刘波,尹红军,齐凤娥,等.电子支气管镜直视下高压球囊扩张术在良性气道狭窄治疗中应用技巧[J].实用医学杂志,2016,32(24):4058~4061.
[5] 吴殷,程刚,李兵,等.纤维支气管镜下高压球囊扩张术治疗结核性重度支气管狭窄[J].临床内科杂志,2013,30(9):621~623.
[6] 朱春梅.冷冻及球囊扩张等多方式介入治疗结核性气管狭窄观察[J].临床肺科杂志,2012,17(4):667~668.
[7] 毛红燕,杨杰,李文涛,等.体外循环辅助下气管球囊扩张和支架置入救治窒息性气管狭窄1例[J].临床荟萃,2013,28(9):1061~1062,封2.
[8] 郭庆荣,程秀芹,金世铮,等.支气管镜球囊扩张治疗气管狭窄28例报道[J].中外健康文摘,2012,9(21):244~244.
[9] 黄溢华,卢晔,崔会芳,等.高压球囊扩张导管在良性气道狭窄病变介入治疗中应用的安全性[J].中国基层医药,2016,23(20):3041~3044.
[10] 杨俊勇,哈力木拉提·艾木肉拉,夏依扎提,等.经支气管镜高压球囊扩张治疗气道结核性狭窄的疗效评价[M].中华医学会结核病学分会2014年学术大会论文集,2014.91.
[11] 更藏尖措,汪祖兰,王书鹏,等.气管镜下冷冻术、氩等离子凝固分别联合球囊扩张治疗结核性支气管狭窄的临床比较研究[J].重庆医学,2016,45(19):2697~2700. |
|
|
|
2017, Vol. 23 
