经支气管镜局部药物灌注治疗气管支气管结核的临床研究.pdfVIP

·494· ·论著· 经支气管镜局部药物灌注治疗 气管支气管结核的临床研究 田江华 戴元荣颜孙舜 林洁 翁海霞 吴立琴夏晓东 吴成云 陈叶 【摘要】目的探讨经支气管镜局部灌注抗结核药物联合全身化疗对气管支气管结核的临床疗效及应用价 值。方法对62例确诊的气管支气管结核患者，采用随机数表法分为两组，即经支气管镜局部灌注药物联合化疗 组(简称“联合治疗组”)31例和单纯化疗组31例，比较两组患者在治疗2个月后的临床表现、胸部CT检查情况、 抗酸杆菌阴转率，以及不同镜下类型气管支气管结核治疗转归的差异。结果治疗2个月后，联合治疗组支气管镜 解气管支气管结核患者的症状，促进病灶吸收，临床疗效优于单纯全身化疗。 【关键词】结核，支气管／药物疗法；支气管镜；输注，病灶内 Clinicalonlocal via inthe treatmentofbronchialtuberculosis study drugperfusionbronchoscope TIAN．fiang-hua。， 工)AI Yuan—tong，YANSun—shun，LIN．五8，WENG Hoi—xia，阢，Li—qin，xM 娩． 。了％Central Hos∥妃f Province，．正nhua321000，China ofJinh¨aCity，Zhejiang author：DAI Cortes伽nding Yuan—tong，Emaif：daivr@126．COTIL To theclinical andvalueofthelocal [Abstract]Objective infusionofantituberculosis(TB) explore efficacy combinedwithantiTB inthetreatment drugsbybronchoscopy chemotherapy oftracheobronchialTB Methods two withtracheobronchialTBwereenrolledin and Sixty patients this dividedintotwo studyrandomly themethodofrandomnumber treatment groupsbyusing table：the“combined whichthe re group”，in patients ceivedbothlocalinfusionand ofantiTB chemotherapydrugs；andthe“simplechemotherapygroup”or“control which received ineach g