| 引用本文:刘 琳 王 涛 王仲元 安慧茹 张 韬 贺路星 刘 晓.经皮肺穿刺注药结合利肺片治疗耐多药空洞型肺结核疗效分析[J].世界中医药,2013,8(3):. |
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| 经皮肺穿刺注药结合利肺片治疗耐多药空洞型肺结核疗效分析 |
| Analysis on Therapeutic Effect of CT guided Percutaneous Pneumocentesis Perfusion Combined with Lifei Tablet in Treating Cavernous Multi drug Resistant Pulmonary Tuberculosis |
| 投稿时间：2012-12-25 |
| DOI：10.3969/j.issn.1673-7202.2013.03.018 |
| 中文关键词: 肺结核 耐多药 经皮肺穿刺 利肺片 |
| English Keywords:Pulmonary tuberculosis Multi drug resistant Percutaneous pneumocentesis Lifei tablets |
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| 中文摘要: |
| 目的：探讨CT引导经皮肺穿刺注药结合利肺片治疗耐多药空洞型肺结核的疗效。方法：将84例耐多药空洞型肺结核患者随机分为2组，介入治疗组采用经皮肺穿刺、空洞注入含抗结核药物凝胶配合全身化疗和利肺片治疗，对照组单用抗结核药物治疗。结果：介入治疗组痰菌阴转率733%、病灶吸收率711%、空洞闭合率474%，明显高于对照组，2组比较差异有统计学意义。结论：CT引导经皮肺穿刺注药配合全身化疗和利肺片治疗治疗耐多药空洞型肺结核，疗效优于单纯全身化疗，操作安全，不良反应少。 |
| English Summary: |
| To explore the therapeutic effect of CT guided percutaneous pneumocentesis perfusion combined with lifei tablet in treating cavernous multi drug resistant pulmonary tuberculosis.Methods:Eighty four patients suffered from cavernous multi drug resistant pulmonary tuberculosis were randomly divided into two groups. Patients in treatment group received gel perfusion containing antitubercular drugs through CT guided percutaneous pneumocentesis, as well as general chemotherapy and lifei tablet. Patients in control group were only given antitubercular drugs.Results:The sputum negative conversion rate was 73.3%,foci absorption rate was 71.1%,and cavity closure rate was 47.4% in the treatment group,all of which were higher than those of the control group. There were significant differences between the two groups.Conclusion:CT guided percutaneous pneumocentesis perfusion combined with chemotherapy and lifei tablet showed better therapeutic effect than chemotherapy in treating cavernous multi drug resistant pulmonary tuberculosis with safe procedure and few side effects. |
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