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支气管镜对不典型支气管结核的诊断价值
引用本文:黄斌,谢灿茂,陈侯腾,赵楚生,吴苏武,卢东生. 支气管镜对不典型支气管结核的诊断价值[J]. 中华医院感染学杂志, 2006, 16(8): 891-893
作者姓名:黄斌  谢灿茂  陈侯腾  赵楚生  吴苏武  卢东生
作者单位:1. 中山大学附属汕头医院,广东,汕头,515031
2. 中山大学附属第一医院,广东,广州,510089
摘    要:目的探讨支气管镜对不典型支气管结核的诊断价值,以提高支气管结核诊断水平。方法选择中山大学附属汕头医院2000年9月~2005年9月5年间,70例经支气管镜病理活检加刷检确诊为支气管结核的患者进行总结分析。结果支气管镜活检加刷检的确诊率达80.0%;在支气管结核的4种类型中,溃疡型和增殖型发现结核菌概率最大,炎症浸润型和狭窄闭塞型较低,两者比较,差异有显著性(P<0.05)。结论支气管镜检查对支气管结核诊断具有极为重要的价值,它具有确诊肺癌和支气管结核、肺结核的双重意义。

关 键 词:支气管镜  支气管结核  诊断  支气管
文章编号:1005-4529(2006)08-0891-03
收稿时间:2006-02-14
修稿时间:2006-04-25

Fiberoptic Bronchoscopy in Diagnosis of Bronchial Tuberculosis
HUANG Bin,XIE Can-mao,CHEN Hou-teng,ZHAO Chu-sheng,WU Su-wu,LU Dong-sheng. Fiberoptic Bronchoscopy in Diagnosis of Bronchial Tuberculosis[J]. Chinese Journal of Nosocomiology, 2006, 16(8): 891-893
Authors:HUANG Bin  XIE Can-mao  CHEN Hou-teng  ZHAO Chu-sheng  WU Su-wu  LU Dong-sheng
Affiliation:Shantou Hospital Affiliated to Sun Yat-sen University, Shantou, Guangdong 515031, China
Abstract:OBJECTIVE To evaluate the importance of fiberoptic bronchoscopy in the diagnosis of bronchial tuberculosis(BT). METHODS The clinical and bronchoscopic feature of 70 cases with BT was analyzed,all patients diagnosis was confirmed by pathology and pathogeny in Shantou Hospital affiliated to Sun Yat-sen University between Sept 2000 to Sept 2005. RESULTS The final diagnosis rate was 80.0% with bronchoscopy brushing examination and bronchial biopsy.Bronchoscopic results showed the possibility to find acid-fast bacillus in ulcerative lesions and granulomatous lesions of BT were higher than that of cicatricial lesions and exudative lesions(P<0.05). CONCLUSIONS Fiberoptic bronchoscopy examination plays a key role on the diagnosis of BT.
Keywords:Bronchoscopy  Bronchial tuberculosis  Diagnosis  Bronchi  
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