Balloon Dilatation of Tuberculous Bronchial Stenosis :Immediate and Long Term Effect.
10.3348/jkrs.1997.36.1.77
- Author:
Sang Yoon LEE
1
;
Byung Kook KWAK
;
Ho Yeong KANG
;
Tae Hoon KIM
;
Soo Rhan KIM
;
Hyun Sun PARK
;
Shin Hyung LEE
;
Chang Joon LEE
Author Information
1. Department of Diagnostic Radiology, National Medical Center.
- Publication Type:Original Article
- Keywords:
Bronchi, iterventional procedure;
Bronchi, stenosis or obstruction;
Tuberculosis, pulmonary
- MeSH:
Bronchi;
Bronchitis;
Constriction, Pathologic*;
Dilatation*;
Female;
Follow-Up Studies;
Humans;
Respiratory Function Tests;
Tuberculosis, Pulmonary
- From:Journal of the Korean Radiological Society
1997;36(1):77-81
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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, 1 month-6years 3 months; n=20) assessments focused on changes in the results of the pulmonary function test (PFT). An increase in FVC or FEVI 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) atlong-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 folow-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, buton long-term foolow-up was less effective; long-term improvement in the inactive stage was, however, well-maintained.
