南方医科大学学报

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (05): 591-592.

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单纯性支气管内膜结核的纤维支气管镜检查分析

孟要武1, 张丹2, 易锦发3, 罗雅玲1   

  1. 1. 南方医科大学南方医院呼吸科, 广东, 广州, 510515;
    2. 空军广州医院呼吸科, 广东, 广州, 510508;
    3. 广东南海桂城医院, 广东, 南海, 528000
  • 出版日期:2005-05-20 发布日期:2005-05-20
  • 基金资助:
    收稿日期:2004-9-25。
    作者简介:孟要武,主治医师,电话:13025154240

Diagnosis of simple endobronchial tuberculosis by fiberobronchoscopy

MENG Yao-wu1, ZHANG Dan2, YI Jin-fa3, LUO Ya-ling1   

  1. 1. 南方医科大学南方医院呼吸科, 广东, 广州, 510515;
    2. 空军广州医院呼吸科, 广东, 广州, 510508;
    3. 广东南海桂城医院, 广东, 南海, 528000
  • Online:2005-05-20 Published:2005-05-20

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摘要： 目的 探讨纤维支气管镜诊断单纯性支气管内膜结核病的特点.方法 应用EB-1530 T型电子纤维支气管镜对9例单纯性支气管内膜结核患者支气管进行活检、刷检及灌洗液检查.结果 单纯性支气管内膜结核多见于年轻人5～35岁,好发于上叶尖后段、中叶(舌段)和下叶背段支气管,左肺多于右肺,镜下表现为充血水肿、干酪样坏死、管腔狭窄、溃疡肉芽等.活检、刷检、灌洗液的诊断阳性率分别为81.5%、30.4%、0.7%,其中活检阳性率与刷检、灌洗液比较有显著性差异(P<0.05).结论 纤维支气管镜检查为诊断单纯性支气管内膜结核的有效手段.

Abstract: Objective To assess the efficacy of fibrobronchoscopy in diagnosis of simple endobronchial tuberculosis.Method Biopsy, brush biopsy and bronchoalvelar lavage fluid examination were performed in 92 patients with simple endobronchial tuberculosis using an electronic fibrobronchoscope.Results Simple endobronchial tuberculosis commonly occurred in young people (25-35 years of age), often developed in the superior lobe apicoposterior segment, middle lobe (ligule) and superior branch of the inferior lobe of the left lung. Under fibrobronchoscope, congested edema, caseous necrosis and ulcer granulation were observed in patients with simple endobronchial tuberculosis. The successful detection rates for biopsy, brush biopsy and bronchoalvelar lavage liquid examination were 81.5%, 30.4% and 20.7%, respectively.Conclusion Fiberobronchoscopy is effective for diagnosis of simple endobronchial tuberculosis.

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