肺结核后空洞内继发曲菌球两种治疗方法的比较研究.PDFVIP

4 12 20117 33 7 Chin J Ant itub rc, July 2011, Vol33, No7 1, 2 1 1 1 1 1 1 郑闽莉 汤春梅 肖海浩 刘伟光 方琼 谢艺开 张言斌 ( 1. 510095; 2. 5 10 182) : 比较研究经支气管镜介入清除和手术切除肺结核后空洞内继发曲菌球的临 价 值 回顾分析183 例肺结核后空洞内继发曲菌球感染患者住院治疗时间治疗费用治疗并发 症及治疗效果 183 例患者, 126 例接受经支气管镜介入清除治疗, 57 例接受手术切除治疗, 平均住院时间分别为49 d 和46 d, 平均治疗费用分别为26 535 元和50 296 元, 手术切除治疗的并发 症发生率较高且程度较重, 但手术切除治疗彻底复发率较低 对肺结核后空洞内继发曲菌球 患者, 经支气管镜介入清除治疗可以得到较彻底有效的治疗效果, 并发症少且轻微, 治疗费用较手术 明显减少, 在手术风险大肺功能储备少或不愿接受手术较大损伤的患者, 支气管镜介入清除治疗可 以作为一种较好的选择 : 结核, 肺/ 并发症; 曲霉菌病; 肺疾病, 真菌性; 支气管镜检查 : 张言斌( zhyb2002@ 163. com) Comparison of two methods in treatment of aspergilloma inside cavities of pulmonary tuberculosis 1, 2 1 1 1 1 1 1 Zheng Min l i , Tang Ch un mei , X ia o Hai hao , L iu Weig u ang , Fang Qiong , X ie Yika i , Zha ng Ya nbin ( 1. Chest Hosp ital of Gu ang hou , Gu ang hou 510095, Chin a ; 2. Gu ang h ou M edi cal Coll eg e 510 182, Chi na ) Abstract: Objective To compar clinical valu of br onchofibroscop x cision and surgical r s ction in tr atm nt of asp rgilloma insid caviti s of pulmonary tub rculosis. Methods On hun dr d and ighty thr hospitaliz d cas s w ith asp r gilloma insid caviti s of pulmonary tub rculosis w r analyz d r tr osp ctiv ly on tim of th rapy, tr atm nt costs, complication of th rapy and ffi cacy . Results Of 183 cas s, 126 cas s r c iv d x cision of asp rgilloma by bronchoscop and 57 cas s r c iv d surgical r s ction. Av r ag tim of th rapy w r 49 day s and 46 day s using br onchofi broscop x cision and surgical r s ction, r sp ctiv ly . Av rag tr atm nt costs