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논문 기본 정보

자료유형
학술저널
저자정보
이상윤 (국립의료원 진단방사선과)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제36권 제1호
발행연도
1997.1
수록면
77 - 81 (5page)

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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.

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