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《Chinese Journal of Antituberculosis》 2019-06
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Analysis of risk factors for poor outcome of treatment in patients with ulcerous necrotic type bronchial tuberculosis

LI Wen-ting;CHEN Hong-xia;YANG Yan;Department of Tuberculosis,Shanghai Pulmrmary Hospital,Tongji University School of Medicine;  
Objective To analyze the factors affecting the efficacy in patients with ulcerous necrotic type bronchial tuberculosis.Methods A total of 105 cases who were first diagnosed with ulcerous necrotic type bronchial tuberculosis by bronchoscopy in the Department of Tuberculosis in Tongji University affiliated to Shanghai Pulmonary Hospital were successively collected from January 2016 to January 2018,and were set as subjects.The clinical data of the patients were collected,and the lesion involved airway sites and levels,the degree of lumen stenosis caused by necrotic materials and mucosal edema,and the imaging characteristics of the chest CT scan under bronchoscopy were recorded.Results Among the 105 patients with ulcerous necrotic type bronchial tuberculosis,72 cases(68.6%)were effectively treated,and 33(31.4%)were ineffectively treated.In the ineffective treatment group,12 cases(36.4%)had a smoking history,21 cases(63.7%)had a symptom duration(from onset to treatment)≥4 weeks,10 cases(30.3%)had cavity on chest CT scan,and 12 cases(36.4%)had a lesion involved airway level≥3.In the effective treatment group,the case numbers of the above four outcomes were 12(16.7%),24(33.3%),8(11.1%)and 10(13.9%),respectively.The differences between the two groups were statistically significant(χ~2=4.98,8.49,5.87 and 6.90,respectively,all P values were0.05).Multivariate logistic regression analysis showed that the smoking history(OR=2.87,95%CI:1.01-8.14),symptom duration≥4 weeks(OR=3.48,95%CI:1.35-9.01),cavity on chest CT scan(OR=3.27,95%CI:1.02-10.55),the lesion involved airway levels≥3(OR=3.73,95%CI:1.23~11.31)were risk factors for the ineffective treatment of ulcerous necrotic type bronchial tuberculosis.Conclusion The strengthening smoking cessation education,enhancement of publicity and education on tuberculosis prevention,and early diagnosis and treatment may contribute to improve the treatment efficiency for the ulcerous necrotic type bronchial tuberculosis.
【CateGory Index】: R521
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【References】
Chinese Journal Full-text Database 1 Hits
1 GUO Chun-hui;ZHANG Ying;SU Yan-ju;WANG Xiao-rui;CAI Ying-bo;SHAO Ming-hui;JIN Li-li;LIN Hong;JI Bin-ying;Harbin Chest Hospital of Heilongjiang Province;;A randomized controlled clinical study of different interventional techniques in the treatment of inflammatory infiltrative type endobronchial tuberculosis[J];中国防痨杂志;2019-11
【Citations】
Chinese Journal Full-text Database 2 Hits
1 KUANG Hao-bin;LIANG Min-qing;FANG Qiong;HE Qiao;CHENG Wu;KUANG Xiao-jia;LIAO Jin-liang;TAN Shou-yong;Guangzhou Chest Hospital,State Key Laboratory of Respiratory Diseases;;Analysis of the sputum negative conversion rate and risk factors for primary pulmonary tuberculosis with tracheobronchial tuberculosis[J];中国防痨杂志;2013-10
2 Liu Guobiao,Zhang Lihao,He Xia,et al.The First Clinic of Guangzhou Chest Hospital,The First Institute of Guangzhou Tuberculosis and Pulmonary Tumor Control Institute,Guangzhou 510180,China;Study on the reasons of the smear positive result at the end of 2th months of treatment of new smear positive pulmonary tuberculosis patients in Guangzhou[J];中国防痨杂志;2005-06
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 LI Wen-ting;CHEN Hong-xia;YANG Yan;Department of Tuberculosis,Shanghai Pulmrmary Hospital,Tongji University School of Medicine;;Analysis of risk factors for poor outcome of treatment in patients with ulcerous necrotic type bronchial tuberculosis[J];中国防痨杂志;2019-06
2 KUANG Hao-bin;TAN Shou-yong;LIANG Min-qing;CAI Xing-shan;FANG Qiong;WANG Min;ZHANG Hong;FENG Zhi-yu;QIN Hong-juan;YE Jin-quan;YUAN Yuan;LI Yan;Guangzhou Chest Hospital;;Study of tracheobronchial tuberculosis complicated with multidrug-resistant pulmonary tuberculosis[J];中国防痨杂志;2017-03
3 ZHOU Yang;XU Wei-guo;DING Xiao-yan;ZHU Li-mei;YU Hao;CHEN Cheng;SHAO Yan;LU Wei;Department of Chronic Infectious Diseases,Jiangsu Provincial Center for Disease Prevention and Control;;Risk factors associated with sputum culture status after two months' treatment of multidrug-resistant tuberculosis[J];中国防痨杂志;2015-01
4 GUO Wan-ru;ZHOU Lin;HE Chao-wen;LIN Hui;LAI Jing-wen;Panyu Center for Chronic Disease Control;;Analysis of influencing factors of positive sputum in new smear positive pulmonary tuberculosis 2 months after treatment[J];临床肺科杂志;2014-06
5 KUANG Hao-bin;LIANG Min-qing;FANG Qiong;HE Qiao;CHENG Wu;KUANG Xiao-jia;LIAO Jin-liang;TAN Shou-yong;Guangzhou Chest Hospital,State Key Laboratory of Respiratory Diseases;;Analysis of the sputum negative conversion rate and risk factors for primary pulmonary tuberculosis with tracheobronchial tuberculosis[J];中国防痨杂志;2013-10
6 Chang Jie Gaotang Centers for Disease Prevention and Control,Gaotang,Shandong 252800,China;Diagnosis and Treatment of Smear-Negative Pulmonary Tuberculosis:An Analysis of 964 Cases[J];社区医学杂志;2012-06
7 SHENG Li,SUN Yu-mei,LIN Ming-gui,CUI Jun,CAO Hui(Tuberculosis Prevention and Treatment Center of Chinese PLA,the Second Affiliated Hospital of General Hospital of PLA,Beijing 100091,China);Clinical Comparison in First-Visit Patients with Smear-Positive and Smear-Negative Pulmonary Tuberculosis[J];解放军护理杂志;2008-13
8 Chen Wei,Ye Cheng-gang,Yin Ling-li;Discuss on diagnosis and treatment of sputum negative pulmonary tuberculosis in 192 cases[J];中国健康教育;2008-06
9 XIAN Cuiping,SONG Tao,LIU Yumei,et al.Guangzhou Thorax Hospital,Guangdong 510095,China;Study of the influence of phlegm bacterium volume on the treatment of new smear positive pulmonary tuberculosis patients[J];临床肺科杂志;2007-08
10 Jiang Li,Zhong Qiu,Huang Guiqing,et al.Anti-tuberculosis research institute of Guangdong Province,Guangzhou 510630,China;The dynamic evaluation model for prediction the result of chemotherapy in new smear positive pulmonary tuberculosis cases[J];中国防痨杂志;2007-02
【Co-references】
Chinese Journal Full-text Database 5 Hits
1 LI Wen-ting;CHEN Hong-xia;YANG Yan;Department of Tuberculosis,Shanghai Pulmrmary Hospital,Tongji University School of Medicine;;Analysis of risk factors for poor outcome of treatment in patients with ulcerous necrotic type bronchial tuberculosis[J];中国防痨杂志;2019-06
2 TANG Fei;LYU Li-ping;Department of Endoscopic Diagnosis and Treatment Center,Anhui Provincial Chest Hospital;;The clinical effect of thermo ablation and cryoablation treatment of lymph nodes fistula type of central airway tracheobronchial tuberculosis (TBTB) under flexible bronchoscopy[J];中国防痨杂志;2019-06
3 HU Zhi-min;JING Qiu-sheng;WU Ming-di;ZHANG Jian-sfiuang;XIANG Rong;CHENG Ya-wen;WANG Li;ZHOU Xiao-man;Department of Endoscopic, Wuhan Pulmonary Hospital;;To discuss the best time of ballon dilatation for the treatment of airway stenosis of tuberculosis[J];中国防痨杂志;2019-03
4 Qin Lin;Ding Weimin;Zhang Jianying;Wang Wenjie;Fu Wenxia;Guo Yang;Department of Endoscopic Diagnosis & Treatment, Beijing Chest Hospital, Capital Medical University;;Efficacy and safety of cryotherapy combined with balloon dilatation through electronic bronchoscope in the management of airway occlusion caused by scar stenosis type of tracheobronchial tuberculosis[J];中华结核和呼吸杂志;2018-11
5 YANG Song;YAN Xiao-feng;Chongqing Infectious Disease Medical Center;;Research on progress of diagnosis and therapy of tracheobronchial tuberculosis[J];结核病与肺部健康杂志;2017-03
【Secondary Citations】
Chinese Journal Full-text Database 7 Hits
1 Chinese Antituberculosis Association of Clinic Society;Annual report on clinical diagnosis and treatment progress of tuberculosis(2012)(Part 1 clinical diagnosis)[J];中国防痨杂志;2013-06
2 CHEN Zhen-hua,XI Zhao,WANG Yu-mei,LUO Dan-lin.Department of Respiratory Medicine,Hunan Chest(TB) Hospital,Changsha 410013,China;Comparative study of intervention treatment plus drugs and drug treatment for new smear positive bronchial tuberculosis patients[J];中国防痨杂志;2013-03
3 TAO Hong-yan,WAN Yi-xin,WEI Hai-dong,WANG Hong,HUANG Hui-rong,LI Fang-wei,WU Hong-yan,WANG Xiao-ping.Department of Respiratory,The Second Hospital of Lanzhou University,Lanzhou 730030,China;Analysis on the efficacy of airway obstruction through interventional therapy under bronchoscope in 82 patients with endobronchial tuberculosis[J];中国防痨杂志;2012-01
4 YIN Hong-yun,LIU Yi-dian,XIAO He-ping,JING Ling-jie,YUE Jun.Pulmonary Hospital of Shanghai Affiliated to Tongji University,Shanghai 200433,China;Drug susceptibility results and clinical characteristics as well as their correlation analysis from 417 cases with positive culture of tubercle bacilli[J];中国实用内科杂志;2009-12
5 TANG Shen-jie,XIAO He-ping,HU Hai-li,LI Hong,ZHANG Qing,DONG Xiu-jin,YANG Yan,FANG Yong,YAN Li-ping,LIU Yi-dian.Department of Tuberculosis,Shanghai Pulmonary Hospital,Tongji University,Shanghai 200433,China;Clinical characteristic,diagnostic standard and types of endobronchial tuberculosis:An analysis of 278 cases[J];中华临床医师杂志(电子版);2009-01
6 ZHANG Guang-yu.Tuberculosis Institute of PLA General Hospital,Beijing 100091,China;Endobronchial Tuberculosis:the Interventional Diagnosis and Therapy by Bronchoscope[J];医学与哲学(临床决策论坛版);2008-11
7 Liu Guobiao,Zhang Lihao,He Xia,et al.The First Clinic of Guangzhou Chest Hospital,The First Institute of Guangzhou Tuberculosis and Pulmonary Tumor Control Institute,Guangzhou 510180,China;Study on the reasons of the smear positive result at the end of 2th months of treatment of new smear positive pulmonary tuberculosis patients in Guangzhou[J];中国防痨杂志;2005-06
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