【摘要】：目的：分析近10年就診于新疆醫(yī)科大第一附醫(yī)院的75例維吾爾族和漢族兒童支氣管擴(kuò)張癥的病因構(gòu)成特點(diǎn)、異同及預(yù)后。方法：選擇2002年1月至2011年12月在新疆醫(yī)科大第一附院住院治療的漢族和維吾爾族支氣管擴(kuò)張患兒75例，經(jīng)肺部高分辨CT(HRCT)檢查確診，其中男性49例(64.5%)，女性26例(35.5%)，漢族29例(38.2%)，維吾爾族46例(61.8%)。年齡為0～16(11.64±4.42)歲，治療分為手術(shù)組和非手術(shù)組，手術(shù)組為24例(30.7%)，非手術(shù)組51例(68.0%)。統(tǒng)計(jì)各項(xiàng)臨床資料并進(jìn)行對比分析。結(jié)果：病因構(gòu)成分布中75例漢族維吾爾族之間有差異是反復(fù)呼吸道感染(RRI)病史、慢性咳嗽時間大于1年、肺結(jié)核(TB)、支原體(MP)肺炎，居住地。HRCT顯示左側(cè)肺葉34例(45.3%)，右側(cè)肺葉17例(22.7%)，柱狀支氣管擴(kuò)張患兒比例較高為24例(32.0%)。預(yù)后與支氣管擴(kuò)張HRCT分期及類型有關(guān)。結(jié)論：在75例漢族維吾爾族支氣管擴(kuò)張患兒中病因構(gòu)成不完全相同，維吾爾族RRI病史、慢性咳嗽、TB病史及居住在農(nóng)村的病因構(gòu)成高于漢族，手術(shù)組的療效與非手術(shù)組預(yù)后無統(tǒng)計(jì)學(xué)差異(P＜0.05)，早期診療及柱狀支氣管擴(kuò)張較預(yù)后好。
[Abstract]:Objective: to analyze the etiological characteristics, similarities and differences and prognosis of bronchiectasis in 75 children of Uygur and Han nationality who were admitted to the first affiliated Hospital of Xinjiang Medical University in recent 10 years. Methods: from January 2002 to December 2011, 75 children with bronchiectasis of Han nationality and Uygur nationality who were hospitalized in the first affiliated Hospital of Xinjiang Medical University were selected and diagnosed by high-resolution CT (HRCT), 49 of them (64.5%) were male. 26 cases (35.5%) were female, 29 cases (38.2%) were Han nationality, 46 cases (61.8%) were Uygur. The age was 0 ~ 16 (11.64 鹵4.42) years. The patients were divided into two groups: the operative group (n = 24) and the non-operative group (n = 51) (30.7%). The clinical data were analyzed and compared. Results: among the 75 Uygur patients of Han nationality, the history of recurrent respiratory tract infection (RRI), chronic cough longer than one year, mycoplasma tuberculosis (MP) pneumonia, and mycoplasma tuberculosis were different. HRCT showed left lobes in 34 cases (45.3%), right lobe in 17 cases (22.7%), and columnar bronchiectasis in 24 cases (32.0%). Prognosis is related to HRCT stage and type of bronchiectasis. Conclusion: the etiological components of 75 children with bronchiectasis in Uygur nationality of Han nationality are not identical. The history of RRI, chronic cough, TB and the etiological composition of living in rural areas in Uygur nationality are higher than those in Han nationality. There was no significant difference in the prognosis between the operation group and the non-operative group (P < 0.05). The early diagnosis and treatment and the columnar bronchiectasis had better prognosis.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R725.6

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