回顾性分析纤维支管镜检查在支管结核诊断的临床价值

目的:探索纤维支管镜检查在支气管结核(支气管内膜结核)的临床价值。方法:分析经支气管镜检查确诊的32例支气管结核的临床表现,影像学改变和镜下特点。结果:镜下黏膜炎症浸润型6例,增殖型5例,狭窄闭塞型18例,溃疡型3例。其中活检阳性率6.25%,刷检阳性率40.625%,(刷检+活检)阳性率为46.9%。结论:纤维支气管镜对支气管结核有重要诊断价值。

Objective Exploring the clinical features of the Fibemptic bronchoscopy （FB） in endobronchial tuberculosis （TB bronchus, EBTB） .Methods Analyzing the clinical and endoscopic features of 32 endobronchlal tuberculosis patients who were diagnosed by bronchoseopy. Results. Endoscopic mucosal inflammatory infiltration 6 cases, the proliferative 5 eases, the stenosis, occlusion 18 eases, ulcer type 3 cases. The positive biopsy rate is 6.25%, the brash biopsy positive rate 40.625%, （brush biopsy ＋ biopsy） positive rate 46.9%.