Han J K, Im J G, Park J H, Han M C, Kim Y W, Shim Y S
Department of Radiology, Seoul National University College of Medicine, Korea.
AJR Am J Roentgenol. 1992 Nov;159(5):971-2. doi: 10.2214/ajr.159.5.1414809.
Endobronchial tuberculosis is present in 10-40% of patients with active pulmonary tuberculosis, and more than 90% of the patients with endobronchial tuberculosis have some degree of bronchial stenosis. The primary treatment for tuberculous bronchial stenosis is antituberculous chemotherapy combined with steroids, but some patients do not respond well, and more aggressive treatment is needed to restore the patency of the involved bronchus. Balloon dilatation of tuberculous bronchial stenosis has been reported to be successful. However, in our experience, balloon dilatation of the stenotic segment has not significantly improved patients' clinical symptoms except in those with very short segmental stenosis. We describe a case of tuberculous bronchial stenosis that was successfully treated with Gianturco self-expanding metallic stents.
支气管内膜结核在10% - 40%的活动性肺结核患者中存在，超过90%的支气管内膜结核患者有一定程度的支气管狭窄。结核性支气管狭窄的主要治疗方法是抗结核化疗联合使用类固醇，但一些患者反应不佳，需要更积极的治疗来恢复受累支气管的通畅。据报道，结核性支气管狭窄的球囊扩张术取得了成功。然而，根据我们的经验，狭窄段的球囊扩张术除了对极短节段狭窄的患者外，并没有显著改善患者的临床症状。我们描述了一例成功使用Gianturco自膨式金属支架治疗的结核性支气管狭窄病例。
