【作者】 熊敏； 张廷梅； 周忠； 耿文剑； 袁国琴；

【Author】 Xiongmin;Zhangtingmei;Zhouzhong;Gengwenjian;Yuanguoqin;Guiyang city pulmonary hospital in Guizhou province;

【机构】 贵州省贵阳市肺科医院；

【摘要】 目的:探讨纤维支气管镜(以下简称纤支镜)对支气管内膜的诊断价值。方法:回顾性分析我院2006——2007年经纤支镜等检查确诊为支气管内膜结核的118例患者的临床资料。结果:支气管内膜结核男女比例为1:1.6,发病年龄在16—78岁之间,60岁以上占11%。临床症状无特异性。胸部CT显示支气管异常仅36%。细菌学检查阳性率为54%。100%病例纤支镜下均可见不同程度的异常表现,部份病例同时合并两种以上的病理改变。结论:支气管内膜结核女性发病近年仍在继续升高,发病年龄趋向老年化。临床仅靠细菌学和胸部CT检查难免造成漏诊。纤支镜检查对本病是一个极重要的诊断手段,一方面能留取标本行细菌学检查,另一方面能对支气管粘膜有一个直观的了解。主张确诊的肺结核患者常规行纤支镜检查。更多还原

【Abstract】 Objective:To explore the value of fiberoptic bronchoscope in diagnosis for endobronchial tuberculosis.Methods:It was analysed.That clinical data by fiberoptic bronchoscope in.118 cases of endobronchial.Tuberculosis from2006 year to 2007 year in our hospital.Results:The percentage was 1:1.6 between men and wemen with endobronchial tuberculosis.Their ages were 16-78 years old and over 60 years old were 11%.Their clinical features were non specific and bronch was non normal in only 36% cases by chest CT scan positive percentage was 54% by bacteriological inspection.All cases were non normal finding of very levels by endobronscope and over two pathologic lessions were finded in some cases.Conclusions:The endoberonchial tuberculosis becomes common in femal patients,and patients age becomes older currently.It is not enough by only bacteriological inspection and chest CT scan..It is a very important way for inspection by fiberoptic bronchoscope and it also get samples for bacteriological inspection,on the other hand,endobronchial catarrh is directly finding by fiberoptic bronchoscope.It is suggested as routine fiberoptic bronchoscope inspections for diagnosis pulmonary tuberculosis.更多还原