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纤维支气管镜刷片对于辅助诊断PPD实验阳性患者诊断肺结核的作用分析 被引量:3

Analysis of the effect of the PPD test on the diagnosis of pulmonary tuberculosis in patients with positive diagnosis of pulmonary tuberculosis
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摘要 目的探究芒图试验阳性患者阳性程度和患者纤维支气管镜刷片的结核分枝杆菌阳性率预测价值。方法对我院在2013年8月至2015年8月期间收治的150个芒图试验阳性患者采取纤维支气管镜刷片手术,对结核分枝杆菌分布数量展开分析,并且把芒图实验所得数据划分成弱阳性、阳性、强阳性以及水泡强阳性四个类型,分析四种类型纤维支气管镜刷片,记录结核分枝杆菌阳性率。结果150个芒图试验阳性病例中,采用纤维支气管镜刷片检测所有患者的结核分枝杆菌阳性率时发现,28个弱阳性患者中,纤维支气管镜刷片检测阳性患者1例,阳性率是3.57%;76个阳性患者中,纤维支气管镜刷片检测阳性患者3例,阳性率是3.95%;42例强阳性患者中,纤维支气管镜刷片检测阳性患者3例,阳性率为14.28%;4个水泡强阳性患者中,纤维支气管镜刷片检测阳性患者3例,阳性率为75.00%。结论芒图试验水泡强阳性患者的纤维支气管镜刷片上出现的结核分枝杆菌阳性率偏高,这样的结果对临床采用纤维支气管镜治疗肺结核病具有很高的参考作用。 Objective To explore the value of the tuberculosis mycobacterium positive rate of fiber bronchoscope brush piece the degree of PPD positive patients. Methods Apply the check of fiber bronchoscope brush piece for 150 PPD positive patients who were admitted into hospital during August 2013 to August 2015. They were divided into weakly positive, positive, strong positive and blisters strong positive. The tuberculosis mycobacterium positive rate was recorded and analyzed. Results The positive rate of mycobacterium tuberculosis was detected in 150 of the positive cases. 28 weak-positive cases with bronchoseopy brush positive rate of TB was 3.57%. 76 positive cases with bronchoscopy brush positive rate of TB was 3.95%. 42 strong-positive cases with bronchoscopy brush positive rate of TB was 14.28%.4 patients were blisters strong positive, and the positive rate was 75.00%. Conclusions The positive rate of myeobacterium tuberculosis in the patients with strong positive staining of blister strong positive patients is high, so it is very useful for clinical treatment of pulmonary tuberculosis.
出处 《国际呼吸杂志》 2016年第17期1294-1296,共3页 International Journal of Respiration
关键词 结核菌素试验 纤维支气管镜 结核分枝杆菌 肺结核 The tuberculin test Fiberoptic bronchoscopy Myeobacterium tuberculosis Tuberculosis
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