【摘要】 目的探讨支气管结核的纤维支气管镜下表现、病理学特征和发病与性别的相关性。方法回顾性分析支气管结核患者782例,总结其纤维支气管镜下的表现、病理学特点、一般资料及既往病史等。结果 782例支气管结核的纤维支气管镜下表现为炎症浸润型、溃疡坏死型、肉芽增殖型、瘢痕狭窄型和管壁软化型;病理表现有渗出、增殖、干酪坏死为主型;发病具有性别差异。结论纤维支气管镜检查、病理活检和刷检在支气管结核诊断中具有重要意义。在全社会进行预防结核病的健康教育,建立健全的社区医疗保障制度,注意性别差异等均为控制支气管结核发病的重要手段。更多还原

【Abstract】 Objective To retrospectively investigate the morphologic change under bronchofibroscope,the pathological change and the sexual difference of bronchial tuberculosis.Methods Retrospectively analysis 782 bronchial tuberculosis patients diagnosed by bronchofibroscope and pathology or acid-fast stain.Get the common status of the patients and so on.Results The morphologic change under bronchofibroscope of bronchial tuberculosis were inflammatory infiltration,ulcer and necrosis,granulation hyperplasia,cicatricial constriction and soften of the bronchial wall.The pathological change of bronchial tuberculosis were effusion,hyperplasia and cheesy necrosis.The incidence of bronchial tuberculosis was related to sex.Conclusion Bronchoscopy,pathological examination and acid-fast stain is very important in the diagnosis of bronchial tuberculosis.The relevant risk factors of bronchial tuberculosis include sex and other endogenous and exogenous factors.To control the epidemic situation of bronchial tuberculosis,we should pay more attention at education,medical care assurance,sex differences,improving public health.更多还原