支气管结核112例临床分析

Analysis of 112 cases on clinical features of endobronchial tuberculosis in

目的探讨支气管结核(EBTB)的临床特征及支气管镜在支气管结核的诊断和治疗中的价值。方法分析112例支气管结核的临床表现、影像学表现、支气管镜下表现、病原学和病理学检查结果及通过支气管镜治疗的效果。结果支气管结核好发于年轻女性,临床表现和胸部X片及胸部CT检查均无特异性。支气管镜下五种类型均有发现。经支气管镜行刷检和活组织病理检查阳性率高。在支气管镜下分别进行局部注入抗结核药、清除坏死组织、热烧灼、球囊扩张等治疗,Ⅰ型及Ⅱ型无一例发生支气管管腔狭窄。结论支气管镜在EBTB的诊断和治疗中均有极重要的地位。

Objective To investigate the clinical features of endobronchial tuberculosis（EBTB）and the bronchoscopic values in the diagnosis and therapy of endobronchial tuberculosis.Methods By analyzing the clinical manifestation,imagemanifestation,bronchoscopic features,112 EBTB patients,with bacteriology and pathology results and the treatment effection by bronchoscope.Results EBTB was more common in young female.There was no characteristic in clinical manifestation,roentgenogram and chest CT of EBTB.The five types of bronchoscopic features of EBTB were all observed.The final diagnosis rate improved with bronchoscopy brushing examination and bronchial biopsy.After local injection,purging slough,microwave therapy and dilatation of saccule by bronchoscopy,no bronchial stenosis occurred in typeⅠand typeⅡ.Conclusion Bronchoscopy has an important status in the diagnosis and treatment of EBTB.