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KMID : 0383819910380040347
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Tuberculosis and Respiratory Diseases
1991 Volume.38 No. 4 p.347 ~ p.356
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Bronchoscopic Electrocautery for Airway Obstruction in The Tumorous Type of Endobronchial Tuberculosis
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정희순/Hee soon Chung
현인규/한성구/정희순/현인규/한성구/In Gyu Hyun/Sung Koo Han/Hee soon Chung/In Gyu Hyun/Sung Koo Han
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Abstract
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Endobronchial tuberculosis is a serious disase because it frequently leaves airway
obstruction as the complication, and the treatment of airway obstruction is generally
troublesome. In the tumorous type of endobonchial tuberculosis, the bronchial patency is
partially or completely compromised with lymph node contents whet the necrotic focus
of the lymph node ruptures into the bronchial lumen to form a bronchoglandular fistula.
To investigate the transition of endobronchial lesion and to evaluate the therapeutic
role of bronchoscopic electrocautery in the tumorous type of endobronchial tuberculosis,
we performed electrocautery in addition to the combination chemotherapy with steroid
and anti-tuberculous drugs in two cases which had airway obstruction proximal to lobar
bronchus with the impairment of pulmonary function. We also treated another two cases
only with chemotherapy and we have followed up four cases over a 36-month period.
In cases that bronchoscopic electrocautery was done, the bronchial patency was
completely restored and the impairment of pulmonary function disappeared just after
cautery and these effects have remained for 12 months or more. But in cases of medical
treatment only, bronchial stenosis was inevitable as the tumorous type of endobronchial
tuberculosis changed to the stenotic type with fibrosis.
It can be concluded that bronchoscopic electrocautery can nip the occurence of
bronchial stenosis in the bud when it is applied in addition to combination chemotherapy
with steroid and anti-tuberculous drugs in the tumorous type of endobronchial
tuberculosis.
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