纤支镜检查对支气管结核的诊断价值分析

Value of the bronchoscopy in diagnosis of endobronchial tuberculosis

目的探讨支气管镜检查对支气管结核(EBTB)的诊断价值。方法通过支气管镜活检和刷检的检查对105例支气管结核进行回顾性分析。结果 105例EBTB患者中,男37例,占35.2%,女68例,占64.8%,男∶女为1∶1.84。年龄15～70岁,平均(33.2±8.7)岁,确诊之前的初步诊断易误诊为:肺炎,肺癌,支气管炎,哮喘,肺脓肿等。支气管镜活检阳性者62例,阳性率67.0%,刷检阳性者64例,阳性率71.1%。结论纤维支气管镜检查对支气管结核的诊断起关键性作用,且具有确诊肺癌和支气管结核的双重意义。

Aim To assess the value of bronchoscopy in diagnosis of endobronchial tuberculosis（EBTB）.Methods 105 cases of EBTB were analysed retrospectively,all the patients diagnoses were confirmed by fiberoptic bronchoscope and pathology.Results In 105 cases of EBTB,male patients 37 cases（35.2%）,female patients 68 cases（64.8%）,average age（33.2±8.7） year.Before diagnosis,it was usually mistaken for pneumonia,lung cancer,bronchitis,asthma and so on.62（67.0%）cases were positive diagnosed by bronchoscope,64（71.1%） cases were positive diagnosed by bronchoscopic brushing examination.Conclusion Fiberoptic bronchoscope examination plays a key role for the diagnosis of endobronchial tuberculosis.It can confirm not only lung cancer,but also endobronchial tuberculosis.