纤维支气管镜对支气管内膜结核的诊断价值

35例经纤维支气管镜检查和支气管活检或细菌学证实为支气管内膜结核病人。女性多于男性。其中18例（51．4％）病人胸部X线显示肺不张，11例病人（31．4％）胸片诊断肺结核。咳嗽、咳痰及胸痛为支气管内膜结核的主要症状。纤维支气管镜检查显示支气管内膜结核的主要特征是肉芽组织增生、支气管狭窄、炎症粘膜充血。联合应用纤维支气管镜活检、刷检及痰检使阳性率明显增加。进行上述检查，对支气管内膜结核有重要诊断价值。

Value of Fiberbronchoscopy in Diagnosis of Endobronchial Tuberculosis

Thirt five cases of endobronchial tuberculosis proved by fiberbronchoscopy and biopsy or identification of bacteria were reported. Most of them were female. Of them, 18 cases (51.4%) had atelectasis revealed by X-rays, 11 (31.4%) pulmonary tuberclulosis. Chief compaints were cough, expectoration and chest pain. Granuloma, bronchiosternosis and congestion were charaterised by fiberbronchoscopy. The results showed that positive diagnostic rates increased in the combined use of fiberbronchoscopic, brush biopsies and sputum examination. The techniques mentioned above are significantly valuable to diagnosis of endobronchial tuberculosis.