纤维支气管镜对气管、支气管内膜结核诊断与治疗的再评价

目的探讨纤维支气管镜在气管、支气管内膜结核诊断、治疗中的价值。方法回顾性分析 83例气管、支气管内膜结核患者的纤维支气管镜的诊断与治疗。结果发现新生物样或肉芽样改变 38例 ( 4 5 .8% ) ,管腔狭窄或闭塞 30例 ( 36 .1% ) ,局部充血、水肿 15例( 18.1% )。经粘膜活检病理确诊 74例 ( 89.2 % ) ,刷检细菌学证实 9例 ( 10 .8% )。 6例予病变支气管内滴注或 (及 )支气管粘膜下注射抗结核药治疗。结论纤维支气管镜在气管、支气管内膜结核的诊断治疗中具有重要地位 ;要建立支气管内“正常区”与“病变区”的相对概念及遵循“先正常后病变”的检查顺序

Reevaluation of fiberoptic bronchoscope in the diagnosis and treatment of endobronchial tuberculosis

Objective To evaluate fiberoptic bronchoscope in the diagnosis and treatment of endobronchial tuberculosis.Methods The diagnosis and treatment by fiberoptic bronchoscopy in 83 cases of endobronchial tuberculosis were analysed retrospectively.Results Neoplasm and granulation changes were seen in 38 cases(45.8%), bronchial stenosis or obstruction in 30 cases(36.1%), and local congestion and edema in 15 cases(18.1%) through fiberoptic bronchoscopy. Mucosa biopsy and bacteriology confirmed the diagnosis of 74 cases(89.2%) and 9 cases(10.8%), respectively. 6 cases were treated by intrabronchial and /or submucous administration of chemotherapy via fiberoptic bronchoscope.Conclusion Fiberoptic bronchoscopy is an important diagnosis and treatment procedure for endobronchial tuberculosis. The concepts of normal area and lesion area in the bronchi should be established. The order of from normal to lesion must be paid attention to during bronchoscopy.