纤维支气管镜不同取材方法对支气管结核的诊断价值

目的：探讨纤维支气管镜（简称纤支镜）下不同取材方法对支气管结核诊断的价值.方法：对63例支气管结核患者,经纤支镜检查采用钳检、刷检、支气管肺泡灌洗（BALF）和针吸活检（TBNA）等不同取材方法诊断支气管结核的阳性率进行回顾性分析.结果：纤支镜下钳检、刷检、支气管肺泡灌洗（BALF）和针吸活检（TBNA）取材后,经细菌学或（和）病理学确诊为支气管结核的阳性率分别为64.81%、36.51%、33.33%和71.05%,四种方法联合后总阳性率为92.59%.结论：根据支气管结核镜下情况不同,采取不同取材方法,对支气管结核均有较高的诊断价值.联合不同取材方法比用单一取材方法诊断支气管结核的阳性率高.

Purpose： to the mirror （ short fibers as a mirror ） the different characters on the diagnosis of tb. methods： 63 cases of tuberculosis patients, the reform of the examination the painting by using a wrench, and bronchi, and wash （ ball alveolus ） and the living the （ tbna ） a different method based on the diagnosis of tuberculosis VLP retrospective study analysis bronchofiberscope, down as a result, prosecution, the prosecution and bronchi, and wash alveolus （ ball ） and needle the （ tbna ） a job after school is based upon the bacteria or （ and ） pathology treated for the bronchi of tuberculosis VLP 64.81% respectively, 36.51%, 72.73% and 33.33 71.05, four kinds of methods for joint after VLP 92.59 %. total According to the conclusion that the case of tb, take a different approach, based on the bronchi of tb is a joint diagnosis, based in different ways than one based diagnosis the method of tuberculosis VLP