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目的探讨经纤维支气管镜(纤支镜)行支气管肺灌洗术治疗肺脓肿的疗效。方法86例肺脓肿患者随机分为治疗组和对照组,治疗组43例,采用纤支镜局部灌洗及保留注药,并常规内科抗炎治疗。对照组43例采用根据痰药敏结果内科抗炎治疗。结果治疗组治愈率88.27%(38/43),总有效率100%(43/43),平均治疗时间27 d,对照组治愈率53.48%(23/43),总有效率79.06%,平均治疗时间45 d,两组比较差异有统计学意义(P<0.01)。结论纤支镜局部治疗联合内科治疗较单纯的内科常规治疗效果明显,治愈率高,简便安全,是治疗肺脓肿的有效手段。
Objective To investigate the curative effect of bronchoalveolar lavage with bronchofibroscopy (bronchofiberscopy) on lung abscess. Methods Totally 86 patients with lung abscess were randomly divided into treatment group and control group. The treatment group included 43 patients. Local bronchofiberscopy was used for local lavage and infusion, and conventional internal medicine anti-inflammatory therapy was used. In the control group, 43 cases were treated with anti-inflammatory medicine according to the result of phlegm and drug sensitivity. Results The cure rate of the treatment group was 88.27% (38/43), the total effective rate was 100% (43/43), the average treatment time was 27 days. In the control group, the cure rate was 53.48% (23/43) and the total effective rate was 79.06% At 45 days, the difference between the two groups was statistically significant (P <0.01). Conclusion The local bronchofiberscopy combined with medical treatment is more effective than conventional medical treatment. The cure rate is high, and it is simple and safe. It is an effective method to treat pulmonary abscess.