纤维支气管镜对支气管内膜结核的诊断与治疗价值

目的：探讨纤维支气管镜检查对支气管内膜结核的诊断与治疗价值。方法：总结15448例经纤支镜检查细菌学和（或）病理学证实的295例支气管内膜结核的临床、X线表现和纤支镜下特征以及全身化疗加局部治疗对支气管内膜结核的治疗作用。结果：纤支镜检查发现异常283例，异常表现以充血水肿最多达22例，占78．10％，次为肉芽结节、溃疡及疤痕出血等。病变表现见坏死物复盖28例，支气管有不同程度狭窄91例。283例中，共进行刷检274例，阳性率89．42％，活检174例，阳性率42．53％，二相比差异非常显（P＜0．01）。全身化疗＋纤支镜下局部给药对支气管内膜结核有较好的治疗作用。结论：纤支镜检查对支气管内膜结核的诊断与治疗有较大的价值。

The value of fiberbronchoscopy on diagnosis and treatment of endobronchial tuberculosis

Objective To investigate the value of fiberbronchoscopy in the diagnosis and treatment of endobronchial tuberculosis.Methods We studied retrospectively records of fiberbronchoscopy in 295 cases with endbronchial tuberculosis demonstrated by bacterialogy and pathology and affect of constitutional chemathorapy after a partial treatment on endobronchial tuberculosis.Results Abnormality was found by fiberbronchoscopy in 283 of 295 cases,In that,congestion and hydrops were found in 221 cases(78.10%),followed by granulation and tubercle,uncer and bleeding.The positive rate of brushy was 89.42% and biopsy 42.53%(P<0.01).Constituional chemotherapy with apartial treatment is a better method in the treatment of on endobronchial tuberculosis.Conclusions Fiberbronchoscopy has an important value in the diagnosis and treatment of endobronchial tuberculosis.