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330例菌阳初治肺结核支气管镜检查结果分析
引用本文:李天义,汤春梅,肖海浩,张言斌,谢艺开.330例菌阳初治肺结核支气管镜检查结果分析[J].临床肺科杂志,2012,17(3):491-492.
作者姓名:李天义  汤春梅  肖海浩  张言斌  谢艺开
作者单位:广州市胸科医院三内科, 广东广州,510095
摘    要:目的 探讨痰菌阳性初治肺结核患者行支气管镜检查的必要性.方法 分析我院2007年1月~ 2010年12月住院的330例行支气管镜检查的痰菌阳性初治肺结核患者的临床资料.结果 在菌阳初治肺结核患者中,支气管结核的发生率明显高于文献报道的肺结核患者.结论 重视痰菌阳性初治肺结核患者的支气管镜检查,可减少EBTB的误诊与漏诊.

关 键 词:肺结核  支气管结核  支气管镜检查  诊断

Analysis of bronchoscopy in 330 intial-treatment pulmonary tuberculosis patients with acid-fast-bacillus smearpositive sputum
LI Tian-yi,TANG Chun-mei,XIAO Hai-hao,ZHANG Yan-bin,XIE Yi-kai.Analysis of bronchoscopy in 330 intial-treatment pulmonary tuberculosis patients with acid-fast-bacillus smearpositive sputum[J].Journal of Clinical Pulmonary Medicine,2012,17(3):491-492.
Authors:LI Tian-yi  TANG Chun-mei  XIAO Hai-hao  ZHANG Yan-bin  XIE Yi-kai
Institution:Guangzhou Chest Hospital,Guangzhou 510095,China
Abstract:Objective To investigate the necessity of bronchoscopy in intial-treatment pulmonary tuberculosis patients with acid-fast-bacillus smear-positive sputum.Methods The clinical data of 330 intial-treatment pulmonary tuberculosis patients who had undergone bronchoscopy and were sputum smear acid-fast-bacillus positive in our hospital from January,2007 to December,2010 were retrospectively analysed.Results The incidence of bronchial tuberculosis in intial-treatment pulmonary tuberculosis patients with acid-fast-bacillus smear-positive sputum was significantly higher than that in the patients with pulmonary tuberculosis,which was reported in the literature.Conclusion Attaching importance to bronchoscopy in intial-treatment pulmonary tuberculosis patients with acid-fast-bacillus smear-positive sputum may reduce misdiagnosis and missed diagnosis of EBTB.
Keywords:Pulmonary tuberculosis  Bronchial tuberculosis  Bronchoscopy  Diagnosis
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