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《Journal of Clinical Pulmonary Medicine》 2011-08
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Efficacy observation of 223 cases with endobronchial tuberculosis treated by forceps clip and drug infusion via fiber bronchoscopy

LIN Fei-shen,CHEN Shan-shan,YU Jun,DU Qian-feng,ZHANG Xia.Department of Tuberculosis Nanjing Chest Hospital Nanjing 210029,China  
Objective To observe and analyze the efficacy of interventional therapy via fiber bronchoscopy in the trcatment of endobronchial tuberculosis(necrotic ulcer and granulation).Methods 223 cases with endobronchial tuberculosis(necrotic ulcer and granulation) were examined by fiber bronchoscopy from March 2009 to July 2010 in our department.We treated them with chemotherapy(HREZ/V) and aerosol inhalation of anti-tuberculosis drugs.Also we clipped necrostic and granulation tissue,then infused anti-tuberculosis drugs in lesions.The changes of the bronchoscopic features were analyzed.Results Among 223 patients,23 patients had total absorption(10.31%),119 examples had significant effect(43.05%),101 had effectiveness(45.29%),and while 3 cases had no effect(1.35%).The total effective rate was 98.65% and the invalid rate was merely 1.35%.Conclusion The fiber bronchoscopic therapy had definite effect with less complications.It could effectively avoid airway scar formation,stenosis,atelectasis and other complications.
【CateGory Index】: R521.2
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