Kết quả soi phế quản ống mềm tại Bệnh viện Phổi Thái Nguyên năm 2023 - 2024=Results of flexible bronchoscopy at Thai Nguyen Lung Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Hà Hoàng, Thị Hiên Lã, Thanh Long Mai, Thị Hiếu Ngô

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.206-213

Bộ sưu tập: Metadata

ID: 478000

Thêm vào giỏ

Flexible bronchoscopy is an increasingly utilized procedure for direct observation and intervention within the bronchial lumen. Objective: To describe and analyze the indications, outcomes, and complications of flexible bronchoscopy. Methods: A descriptive study was conducted with a sample size of 385 patients who were purposefully selected based on bronchoscopy indications. Procedures included bronchoscopy, foreign body removal, lung lavage, pus drainage, transbronchial biopsy, and tissue biopsy. Data were analyzed using SPSS software. Results: The majority of patients were male (63.1%), with an average age of 61.32 ± 14.32. The most common symptoms leading to bronchoscopy were persistent cough (83.4%), suspected pulmonary tuberculosis (34.8%), abnormal chest X-ray findings (23.6%), suspected lung cancer (12.6%), and foreign body aspiration (1.03%). There was a strong association between suspected tuberculosis or lung cancer and positive AFB results or biopsy findings during bronchoscopy, with significant statistical relevance (p<
0.01). Complications included nausea and vomiting (15.3%), post-procedure fever (14.28%), nasal bleeding (10.4%), and laryngotracheobronchial spasms (8.1%). Conclusion: Bronchoscopy is a crucial procedure for diagnosing and treating respiratory diseases, especially tuberculosis and lung cancer. Indications for bronchoscopy should be carefully considered based on the patient's clinical condition, weighing the potential benefits and risks. Recommendations: Careful monitoring and post-procedure care are essential to detect early complications.Mô tả và phân tích các chỉ định, các kết quả và một số biến chứng nội soi phế quản ống mềm. Phương pháp: Mô tả, cỡ mẫu điều tra một tỷ lệ, chọn chủ đích các bệnh nhân có chỉ định soi phế quản, thu được 385 mẫu. Quy trình soi phế quản ống mềm, lấy dị vật, bơm rửa phổi, dẫn lưu mủ, sinh thiết xuyên thành, sinh thiết tổ chức. Xử lý số liệu bằng phần mềm SPSS. Kết quả: Giới Nam (63,1%) chiếm tỉ lệ cao hơn giới nữ (36,9%). Tuổi trung bình 61,32 ± 14,32. Triệu chứng định hướng chỉnh định: ho kéo dài chiếm 83,4%, nghi lao phổi 34,8%, Xquang phổi thấy bất thường 23,6%, nghi u phổi 12,6%, dị vật xâm nhập 1,03%. Chỉ định nghi ngờ lao, nghi ung thư phổi có mối liên quan chặt chẽ với kết quả AFB dương tính trong, kết quả sinh thiết tại chỗ trong nội soi phế quản ống mềm có ý nghĩa thống kê rõ ràng với p<
0,01. Biến chứng nôn, ọe dịch (15,3%), sốt sau nội soi (14,28%) chảy máu mũi (10,4%) và co thắt thanh quản, khí quản, phế quản (8,1%). Kết luận: Nội soi phế quản là một thủ thuật quan trọng trong việc chẩn đoán và điều trị các bệnh lý hô hấp, đặc biệt là chẩn đoán lao phổi và ung thư phổi. Việc chỉ định thực hiện nội soi phế quản cần phải được cân nhắc kỹ lưỡng dựa trên tình trạng lâm sàng của bệnh nhân, lợi ích và nguy cơ có thể xảy ra. Khuyến nghị: Cần cẩn thận theo dõi và chăm sóc bệnh nhân sau thủ thuật nội soi phế quản ống mềm để phát hiện sớm các biến chứng nếu có.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR