纤维支气管镜诊断活动性肺结核病的临床分析

Analysis of clinical application of fiberoptic bronchoscopy in diagnosis of active pulmonary tuberculosis

目的分析纤维支气管镜诊断活动性肺结核病的临床价值。方法选取2018年1月至2019年12月本院收治的活动性肺结核病患儿20例,根据患儿检查方式的不同分为观察组和对照组,各10例。对照组患儿采用肺泡灌洗液进行检测,观察组患儿采用纤维支气管镜进行检查。比较两组患儿灵敏度、特异度、诊断准确率,并观察患儿的临床症状。结果观察组灵敏度及特异度明显高于对照组,差异有统计学意义(P<0.05);观察组诊断准确率明显高于对照组,差异有统计学意义(P<0.05);患儿临床表现为支气管管腔狭窄等临床特征。结论在活动性肺结核患儿的临床诊断中,采用纤维支气管镜对患儿疾病类型进行诊断更有利于确诊患儿,帮助临床医生对患儿采取进一步的治疗,值得临床推广应用。

Objective To analyze the clinical value of fiberoptic bronchoscopy in diagnosis of active pulmonary tuberculosis.Methods 20 chil-dren with active tuberculosis from January 2018 to December 2019 admitted to our hospital were selected.They were divided into observation group and control group according to the examination methods,with 10 cases in each group.The control group was examined with alveolar lavage fluid,the observation group was examined with fiberoptic bronchoscopy.The sensitivity,specificity and diagnostic accuracy were compared between the two groups,and observe their clinical symptoms.Results The sensitivity and specificity of the observation group were significantly higher than that of the control group(P<0.05);the diagnostic accuracy was significantly higher than that of the control group(P<0.05);the clinical manifestations were bronchial lumen stenosis.Conclusion In the clinical diagnosis of active tuberculosis,the diagnosis of fiberoptic bronchoscopy is more benefi-cial to the diagnosis.