106例支气管内膜结核临床分析

The Clinical Analysis of 106 Patients Who Have Endobronchial Tuberculosis

目的研究支气管内膜结核病理类型与治疗效果之间的关系。方法临床确诊的支气管内膜结核患者106例,结合临床、影像学及病理表现、治疗情况等进行总结、归纳。结果纤维狭窄型为支气管内膜结核晚期病理类型,是长时间误诊误治的结果,积极正规治疗后纤支镜下表现总有效率为18.2%,临床表现18.2%,X线表现27.3%,而非纤维狭窄型分别为82.1%、89.5%、77.9%。结论早期及时有效的化疗结合雾化吸入治疗支气管内膜结核,预后良好,长时间误诊误治导致气管支气管纤维狭窄,治疗效果不佳。

Objective To analyze the relationship between pathologic type and efficacy of endobronchial tuberculosis（EBTB）.Methods 106 patients confirmed of EBTB were analyzed combined with clinical manifestation,medical imaging,pathologic manifestation and treatment.Results Fiber stenosis type is one type of later period of EBTB,a result of misdiagnosis and mistreatment.Based on positive formal treatment,the efficacy was 18.2% under fiberoptic bronchoscope, 18.2% under clinical manifestation and 27.3% under X-ray, while Non-fibrous stenosis was 82.1%,89.5% and 77.9%.Conclusion The curative effect of EBTB is great when treated with prompt and effective chemotherapy combined with nebulization therapy,while the curative effect isn＇t ideal in case of misdiagnosis and mistreatment.