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결핵성 기관지 협착증의 풍선확장술 : 장.단기 치료효과 판정
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  • 결핵성 기관지 협착증의 풍선확장술 : 장.단기 치료효과 판정
저자명
이상윤
간행물명
대한방사선의학회지
권/호정보
1997년|36권 1호|pp.77-81 (5 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose: To evaluate the long-term immediate effects of balloon dilatation of the tuberculous bronchial stenosis. Materials and Methods: Twenty-three women with tuberculous bronchial stenosis (19, left main bronchus; 4, right main bronchus) underwent balloon dilatation (13 bronchoscopically guided; 10 fluoroscopically guided). Immediate (n=23) and long-term follow-up (mean, 17.2 months; range, 1month-6years 3months; n=20) assessments focused on changes in the results of the pulmonary function test (PET). An increase in FVC or FEV1 of more than 10% after the procedure was considered effective. in all patients, any complications were evaluated. Results: Balloon dilatation was effective at immediate follow-up in 69.5% of patients(16/23) and in 75.0%(15/20) at long-term follow-up. Bronchoscopically and fluoroscopically-guided balloon dilatation proved effective in 61.5%(8/13) and 80.0% of patients (8/10) on immediate follow-up respectively, but in 90.0%(9/10) and 60.0%(6/10) on long term follow-up respectively. Balloon dilatation was effective in the active(n=10) and inactive(n=13) stage of tuberculous bronchitis in 80.0%(8/10) and 61.5% of cases(8/13) on immediate follow-up respectively, but in 66.6%(6/9) and 81.8%(9/11) on long term follow-up study, respectively. Conclusion: On immediate follow-up, balloon dilatation of tubular bronchial stenosis was more effective in the active than in the inactive stage, but on long-term follow-up was less effective; long-term improvement in the inactive stage was, however, well-maintained.