west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "支气管结核" 2 results
  • 良性气道狭窄病因分析及治疗方式总结

    目的 探讨良性气道狭窄病因分析及治疗方式。方法 收集2006 年1 月至2010 年5月期间四川大学华西医院经胸部CT、纤维支气管镜或手术、病原学、病理学确诊为良性气道狭窄的住院患者100 例。对患者的病史特点、胸部影像学检查、纤支镜镜下表现、手术所见、病原微生物、病理结果及治疗方式进行统计分析。结果 在良性气道狭窄患者中, 支气管结核60 例( 60% ) , 气管切开术后15 例( 15% ) , 创伤后6 例( 6% ) , 气管插管后3 例( 3% ) , 支气管吻合术后3 例( 3% ) , 甲状腺肿3 例( 3% ) , 复发性多软骨炎2 例( 2% ) , 良性肿瘤4 例( 4%) , 其他原因4 例( 4%) 。结论 良性气道狭窄的病因常见原因是结核性, 起病较隐匿, 临床医生应注意排查肺结核患者有无气道狭窄。纤支镜下的介入治疗为治疗良性气道狭窄的主要方法。

    Release date:2016-09-13 04:00 Export PDF Favorites Scan
  • Clinical characteristics of tracheobronchial stenosis due to tracheobronchial tuberculosis

    ObjectiveTo investigate the clinical characteristics of tracheobronchial stenosis due to tracheobronchial tuberculosis (TBTB).MethodsWe recruited all patients diagnosed as TBTB within one year from four centers of Guangdong province, southern China. The prevalence, risk factors and bronchoscopy characteristics of tracheobronchial stenosis were analyzed. The location and pathological type of stenosis were also compared between different genders.ResultsA total of 345 patients were diagnosed with TBTB, 206 cases (59.7%) of which were concomitant with varying degrees of tracheobronchial stenosis. The stenosis was mainly located at upper lobe (50.0%) and gave priority to unilateral infiltration. The proportion of left and right-side stenosis were 53.9% and 44.2%, respectively. Forty-nine cases (23.8%) with tracheobronchia stenosis developed severe airway narrowing, the proportion of which was similar between left and right-side lung (49% vs. 51%). Severe stenosis in the left-side lung mainly involved in upper lobe (37.5%), main bronchus (37.5%) and the right-side mainly involved in upper lobe (44.0%), middle lobe or intermediate bronchus (40.0%). Among the TBTB patients, females, those with age ≥18 years, non-smokers, and those with symptom duration ≥4 weeks were more likely to be with tracheobronchial stenosis (P<0.05). The differences in gender between the patients with airway stenosis were as follows: the median age of female tracheobronchial stenosis patients was smaller than that of male patients (31 years vs. 43 years, P<0.05); stenosis were more likely involved in left side and main bronchus in female patients; ulceration necrosis of stenosis was more frequently seen in the female patients (P<0.05).ConclusionsTracheobronchial stenosis due to tracheobronchial tuberculosis is more frequently seen in young and middle-aged female patients. There are different stenosis location and lesion types between different genders.

    Release date:2020-09-27 06:38 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content