Observation on the Therapeutic Effect of Bronchoscopic Freezing Combined with Balloon Dilating in the Tracheobronchial Tuberculosis with Cicatricial Stenosis
SUN Yang
WANG Yu-ling
GUO Yun
LIU Yu-zhen
DAI Er-hei
GAO Hui-xia
SU Yuan-yuan
Abstract：Objective To observe the treatment efficacy and safety of freezing and balloon dilating under the bronchoscope.Methods Select ninety patients who were diagnosed as tracheobronchial tuberculosis with cicatricial stenosis from January 2012 to August 2015.These patients were divided into three groups, each group inducing 30 people.All patients in the three groups were treated by bronchoscopic intervention on the basis of routine anti-tuberculosis treatment.They were treated with cryotherapy(frozen group), balloon dilation(balloon group)and cryotherapy plus balloon dilation(combined group),once every two weeks, a total of four times.To evaluate the treatment efficacy under the therapeutic schedule after one month.The main symptom classification, forced expiratory volume(FEV1) and airway diameter were compared before and after the treatment,and the complication was observed.Results The total effective rate was 90.0% in the combined group and 60.0% in the frozen group and 70.0% in the balloon group, the difference was statistically significant (P<0.05).The FEV1 and airway diameter of the three groups were improved (P<0.05), and the improvement of FEV1 and airway diameter was more obvious than that of the other two groups after treatment (P<0.05).There were no serious complications in the three groups.Conclusion Compared with single bronchoscopic interventional therapy, the combination of cryotherapy and balloon dilation was more effective in treatment TBTB with cicatricial stenosis.
Keywords：TuberculosistracheaBronchoscopesCryotherapyBalloon dilation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 75-79 )