应用纤维支气管镜诊断支气管结核55例临床分析

Clinical analysis of Fiberoptic Bronchoscopy in Diagnosis of 55 patients with Endobronchial Tuberculosis

目的探讨纤维支气管镜对诊断支气管结核的诊断价值。方法用纤维支气管镜检查55例支气管结核患者,并与病理学检查结果比较。结果55例中有21例(38.2%)为浸润型,16例(29.1%)为肉芽增殖型,13例(23.6%)为溃疡坏死型,5例(9.1%)为瘢痕狭窄型。纤维支气管镜下病理活检阳性率为32.7%。支气管刷检及支气管肺泡灌洗阳性率为56.4%。结论纤维支气管镜检查可以提高支气管结核的确诊率。

Objective To investigate the clinical value of fiberoptic bronchoscopy in diagnosis of endobronchial tuberculosis. Methods Fifty-five patients with endobronehial tuberculosis were checked up by fiberoptic bronchoscopy and the results were compared with the patients examined by pathology. Results 21 （38.2%） patients were diagnosed as infiltrating type,16（29.1% ） patients were granulation proliferation type,13 （23.6%） patients were anabrotic necrosis type, and 5 （9.1% ） patients were cicatricial constriction type. The positive rate of fiberoptic bronchoscopy combined with pathobiopsy was 32.7% ,while the positive rate of fibrobranchoscope brush biopsy combined with bronchopulmonary lavage was 56.4%. Conclusion Fiberoptic bronchoscopy can increase detectable rates of endo- bronchial tuberculosis.