CT与支气管镜活检病理组织学在支气管结核诊断中的应用价值研究

目的探讨CT扫描和支气管镜在支气管结核诊断中的应用价值。方法选取2012年10月-2015年10月在我院诊断治疗的支气管结核患者95例为研究对象,入院后均进行CT扫描和支气管镜检查,分析两个检查手段在支气管结核诊断方面的影像学特征。结果根据CT扫描以及支气管镜显示,确诊62例(65.26%)支气管管腔狭窄,23例(24.21%)支气管管腔阻塞以及10例(10.52%)肺不张;81例患者为单侧支气管病变,其中左侧27例,右侧54例,10例患者为在双侧支气管病变,另4例患者发生在气管下段。支气管镜、CT诊断支气管结核的确诊率均为100%(95/95);支气管镜检查镜下表现以支气管管壁增厚(53.6%)、粘膜充血较多见(47.3%)。结论 CT、支气管镜对支气管结核的确诊率均较高,联合检测可为临床提供更多相关资料,值得在临床推广及应用。

Discussion of Application Value of CT Scanning and Bronchoscopy Biopsy in the Diagnosis of Bronchial Tuberculosis

Objective To investigate the application value of CT scanning and bronchoscopy in the diagnosis of bronchial tuberculosis. Methods A retrospective analysis of CT scanning and bronchoscopy image characteristics of 95 endobronchial tuberculosis patients in our hospital who underwent CT scanning and bronchoscopy from October 2012 to October 2015. Results According to the CT scan and bronchoscopy showed that 62 cases were diagnosed (65.26%) bronchial stenosis, 23 cases (24.21%) bronchial lumen obstruction and 10 cases (10.52%) of pulmonary atelectasis; 81 patients with unilateral bronchial lesions, including 27 cases on the left side, right side in 54 cases, 10 patients with bronchial lesions in double side, on the other 4 cases occurred in the lower part of trachea. The diagnostic rate of bronchoscopy and CT in diagnosis of endobronchial tuberculosis was 100% (95/95). The bronchoscopic examination showed bronchial tube wall thickening (53.6%) and mucosal hyperemia (47.3%). Conclusion The diagnostic rate of CT and bronchoscopy for bronchial tuberculosis is higher. Combined detection can provide more information for clinical application, and is worthy of clinical promotion and application.