[1]孔雨曦,徐明鹏.支气管镜介入冷冻联合氩气刀治疗结核性大气道狭窄的疗效及对患者生活质量的影响[J].医学信息,2022,35(16):112-114.[doi:10.3969/j.issn.1006-1959.2022.16.027]
　KONG Yu-xi,XU Ming-peng.Clinical Effect of Bronchoscope Interventional Cryotherapy Combined with Argon Knife in the Treatment of Tuberculous Air Duct Stenosis and its Effect on Patients’ Quality of Life[J].Journal of Medical Information,2022,35(16):112-114.[doi:10.3969/j.issn.1006-1959.2022.16.027]
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支气管镜介入冷冻联合氩气刀治疗结核性大气道狭窄的疗效及对患者生活质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年16期
页码:
112-114
栏目:
临床研究
出版日期:
2022-08-15

文章信息/Info

Title:
Clinical Effect of Bronchoscope Interventional Cryotherapy Combined with Argon Knife in the Treatment of Tuberculous Air Duct Stenosis and its Effect on Patients’ Quality of Life
文章编号:
1006-1959（2022）16-0112-03
作者:
孔雨曦; 徐明鹏
（1.梧州市红十字会医院呼吸内科，广西 梧州 543002；2.广西医科大学第二附属医院呼吸与危重症医学科，广西 南宁 530000）
Author(s):
KONG Yu-xi; XU Ming-peng
(1.Department of Respiratory Medicine,Wuzhou Red Cross Hospital,Wuzhou 543002,Guangxi,China;2.Department of Respiratory and Critical Care Medicine, the Second Affiliated Hospital of Guangxi Medical University,Nanning 530000,Guangxi,China)
关键词:
支气管镜介入冷冻; 氩气刀; 结核性大气道狭窄; 生活质量
Keywords:
Bronchoscope interventional cryotherapy; Argon knife; Tuberculous airway stenosis; Quality of life
分类号:
R521
DOI:
10.3969/j.issn.1006-1959.2022.16.027
文献标志码:
A
摘要:
目的 探讨支气管镜介入冷冻联合氩气刀治疗结核性大气道狭窄的临床疗效及对患者生活质量的影响。方法 选取2018年3月-2021年3月梧州市红十字会医院呼吸内科、广西医科大学第二附属医院呼吸与危重症医学科收治的58例结核性大气道狭窄患者作为研究对象，根据随机数字法分为对照组和研究组，每组29例。对照组采用氩气刀治疗，研究组采用支气管镜介入冷冻联合氩气刀治疗。比较两组治疗效果、并发症发生情况及生活质量（QOL）。结果 研究组治疗总有效率为93.10%，高于对照组的75.86%（P＜0.05）；研究组并发症发生率为6.90%，低于对照组的31.03%（P＜0.05）；两组治疗后的生活质量评分均高于治疗前，且研究组高于对照组（P＜0.05）。结论 应用支气管镜介入冷冻联合氩气刀治疗结核性大气道狭窄效果确切，可有效提高患者的治疗有效率，并降低发生并发症的情况，安全性高，从而促进患者术后尽早康复，有利于提高患者的生活质量。
Abstract:
Objective To investigate the clinical effect of bronchoscopic interventional cryotherapy combined with argon knife in the treatment of tuberculous airway stenosis and its effect on the quality of life of patients.Methods A total of 58 patients with tuberculous airway stenosis admitted to the Department of Respiratory Medicine of Wuzhou Red Cross Hospital and the Department of Respiratory and Critical Care Medicine of the Second Affiliated Hospital of Guangxi Medical University from March 2018 to March 2021 were selected as subjects. According to the random number method, they were divided into control group and study group, with 29 cases in each group. The control group was treated with argon knife, and the study group was treated with bronchoscopy interventional cryotherapy combined with argon knife. The therapeutic effect, complications and quality of life (QOL) of the two groups were compared.Results The total effective rate of the study group was 93.10%, which was higher than 75.86% of the control group(P＜0.05). The total incidence of complications in the study group was 6.90%, which was lower than 31.03% in the control group(P＜0.05). The quality of life scores of the two groups after treatment were higher than those before treatment, and the study group was higher than the control group(P＜0.05).Conclusion The application of bronchoscopic interventional cryosurgery combined with argon knife is effectivein the treatment of tuberculous airway stenosis, which can effectively improve the treatment efficiency of patients, reduce the incidence of complications, and has high safety, so as to promote the early postoperative rehabilitation of patients, and improve the quality of life of patients.

参考文献/References:

[1]游佩涛,刘文,薛宗锡,等.经纤维支气管镜冷冻切除术治疗气管支气管结核的疗效评价[J].实用医学杂志,2019,25(12):1871-1874.[2]马兰红,贾莉,王晓雯.良性中央呼吸道狭窄12例病因分析及气管镜介入治疗疗效分析[J].中华实用儿科临床杂志,2020,35(22):1727-1730.[3]Natale G,Reginelli A,Testa D,et al.The use of 3D printing model as tool for planning endoscopic treatment of benign airway stenosis[J].Translational Cancer Research,2020,9(3):2117-2122.[4]赵纯,向述天,苏伟,等.支气管镜导引下圈套器电灼损伤在犬气管狭窄模型中的应用[J].介入放射学杂志,2020,29(11):55-58.[5]秦林,丁卫民,张建英.冷冻联合球囊扩张术治疗瘢痕狭窄型支气管结核气道闭塞的有效性及安全性[J].中华结核和呼吸杂志,2019,41(11):857-862.[6]Hoetzenecker K,Chan HH,Frommlet F,et al.New Technology 3D models in the diagnosis of subglottic airway stenosis[J].The Annals of Thoracic Surgery,2019,108(1):1860-1865.[7]更藏尖措,汪祖兰,王书鹏.气管镜下冷冻术、氩等离子凝固分别联合球囊扩张治疗结核性支气管狭窄的临床比较研究[J].重庆医学,2016,45(19):2697-2700.[8]梁永锋,丘新才.氩气刀联合冷冻术治疗肺部恶性肿瘤中央气道狭窄的疗效观察[J].重庆医学,2017,13(184):95-98.[9]王晓娜,孙卫卫,闫润泽,等.EQ-5D量表与SF-36量表在DKD患者生命质量评价中的应用[J].中国中西医结合肾病杂志,2020,21(1):28-31.[10]蒋军红.经支气管镜工作孔道释放的气道支架及置入方法[J].中华结核和呼吸杂志,2020,43(1):73-75.[11]赵晓莹,孙勇,徐勇辉,等.CT穿刺活检对纤维支气管镜检查阴性者的临床价值[J].实用放射学杂志,2019,35(9):1484-1487.[12]Niu JM,Zhang J,Qiu XJ,et al.Comparison of clinical features and stent placement outcomes between airway stenosis caused by primary pulmonary malignancies and that caused by primary non-pulmonary malignancies[J].Chinese Medical Journal,2019,132(4):431-436.[13]陈愉,周子青,冯家欣,等.使用气道内杂交支架治疗复杂气道狭窄和气道瘘疗效与安全性分析[J].中国肺癌杂志,2020,23(6):472-478.[14]陈敏,薄丽艳,王琰,等.支气管镜介入技术治疗结核性瘢痕性中心气道狭窄的对照研究[J].国际呼吸杂志,2017,37(8):590-594.[15]刘丽,江颖仪.支气管纤维镜介入治疗疑似气管及支气管结核病临床疗效观察[J].中国地方病防治杂志,2019,34(6):100-102.[16]赵富明,周外民,肖阳宝,等.支气管镜冷冻术联合球囊扩张治疗瘢痕狭窄型支气管结核气道闭塞的有效性及安全性[J].川北医学院学报,2019,34(6):767-771.[17]杨贵敏,赵磊,王栋,等.气管镜下冷冻联合球囊扩张治疗结核性支气管狭窄的疗效及对细胞因子的影响[J].河北医药,2019,41(10):1525-1527,1531.[18]王志刚,刘媛媛.经纤维支气管镜介入冷冻联合其他方法治疗气管支气管结核的疗效及不良反应分析[J].中国防痨杂志,2019,41(5):569-574.[19]冯洁美,谭泰英,蒙锦祥,等.支气管镜介入联合雾化吸入综合治疗损伤性气管狭窄的疗效及影响因素分析[J].吉林医学,2020,41(6):29-31.[20]徐春燕,邱忠民,吕寒静,等.支气管镜APC联合CO2冷冻术治疗结核性大气道狭窄的效果及其对气道、动脉血气、肺功能的影响[J].疑难病杂志,2016,15(4):358-361.

更新日期/Last Update: 1900-01-01