支气管内膜结核41例临床分析

目的:探讨支气管内膜结核(EBTB)的临床特征及早期诊断方法。方法:回顾性分析41例确诊的EBTB患者的临床资料。结果 :纤维支气管镜(FB)检查提示增殖型病变12.5%,溃疡型病变45%,炎症浸润型病变17.5%,狭窄闭塞型病变20%,大致正常5%。结论:EBTB缺乏特异性临床表现,联合PPD试验、痰TB-DNA在EBTB初筛可提高EBTB早期诊断率,确诊主要依靠FB检查,联合应用刷检、支气管肺泡灌洗及活检对于EBTB诊断起着关键性作用。

Clinical Analysis of 41 Patients with Endobronchial Tuberculosis

Objective：To explore the clinical features and early definite diagnosis of endobronchial tubercolosis （EBTB）. Methods： Clinical data of 41 patients with EBTB were analyzed retrospectively. Results： Bronchoscopic results shown exudative lesions in 12.5% of the cases,granulomatous lesions in 45%,cicatricial lesions in17.5%, ulcerative lesions in 20%,and normal-like demonstrations in 5%. Conclusions： There are no specific symptoms for EBTB. PPD、sputum TB-DNA can improved the early diagnostic rate of EBTB. Bronchoscopy plays an important role in definite diagnosis of the disease , combined use of brush inspection of acid-fast bacillus , bronchoalveolar lavage and tissue biopsy.