内科保守治疗与外科手术治疗支气管扩张临床研究.docxVIP

内科保守治疗与外科手术治疗支气管扩张临床研究 俞巍1黄红波2 （1湖北省武汉市十一医院湖北武汉430015; 2华中科技大学同济医学院附属普爱医院湖北武汉430034） 【摘要】目的:探讨釆用内科保守疗法与外科手术治疗支气管扩张的临床效 果。方法:选择选择2007年4月2012年12月我院收治的204例支气管扩张患者 作为临床观察对象。将全部患者随机均分为观察组和对照组。对照组采取保守治 疗，观察组釆取外科手术治疗，对照两组患者的治疗效果。结果:对照组102例 患者中，76例的感染情况获得有效控制（26例治愈，50例好转），另外26例因 无效转至手术治疗（归入观察组统计），总有效率为74 51%；观察组痊愈84 例，好转10例，无效8例，总有效率为92 16%。观察组的总有效率显著高于 对照组（P0 05）o结论 通过对比得知，外科手术治疗支气管扩张症治愈彻 底，同时治愈率高，是最有效地治疗方式。但是术前必须掌握好适应症，做好充 分准备，选择恰当的手术方式和时机，尽量降低并发症率，能够有效提升效果。 【关键词】支气管扩张症；内科保守治疗；外科手术治疗；治疗效果Clinical study of con servative treatme nt and surgical departme nt of in ter nal medici ne operation treatment of bronchiectasis Yu WeiHuang Hongbo（lThe eleven Hospital of Wuhan City,Hubei Province,Hubei,Wuhan,430015;2Universal love Hospital Affiliated to Tongji Medical College of Huazh ong Un iversity of Scie nee and Tech no logy,Hubei,Wuha n,430015） [Abstract ] Objective: To explore the in ter nal medicine con servative treatment and surgical treatment the clinical effect of bronchiectasis? Method: Choosing in April 2007 in December 2012,our hospital clinical observation of 204 patients with bronchiectasis were as object. All patients were randomly divided into observation group and control group. Take conservative treatment in the control group,observation group take surgical treatment’control group patients with two groups of treatment effect. Results: In the control group of 102 cases,76 cases of infections to gain effective control (26 cases were cured,better in 50 cases),and 26 cases for in valid tran sferred to surgical treatme nt (classified as observatio n group statistics),the total effective rate was 74 51%;Observation group 84 cases cured,10 cases,8 cases were in valid. The total effective rate was 92 16%. Observation group the total effective rate was significantly higher than control group(Plt;0 05). Conclusion: By contrast that surgical treatment of bronchiectasis disease cure thoroughly,at the same time,the cure rate is highjs the most effective treatment. But must gras