摘要
目的:观察纤维支气管镜在支气管结核(EBTB)诊断中的作用。方法:收治EBTB患者97例,对其临床资料进行回顾性分析。结果:X线胸片和CT检查诊断EBTB 42例(43%),支气管镜检结合刷检、灌洗和活检结果诊断为EBTB 82例(85%);治疗1年后,97例患者痰菌阴转89例(91.8%)。结论:对可疑EBTB患者,及时行支气管镜检查及支气管镜直视下的刷检、灌洗及活检联合检测可以显著提高EBTB确诊率,减少漏诊和误诊,提高患者预后效果,减少并发症的发生。
Objective:To observe the effect of fiber bronchoscopy in the diagnosis of endobronchial tuberculosis(EBTB).Methods:97 cases of patients with EBTB were treated,and the clinical data were retrospectively analyzed.Results:EBTB of 42 cases(43%) were confirmed by X-ray and CT examination;EBTB of 82 cases(85% ) were confirmed by bronchoscopy combined with lavage and biopsy.1 year after treatment,89 cases(91.8%)were with sputum negative conversion in 97 cases.Conclusion:For patients with suspected tuberculosis,the combined detection of the bronchoscopy combined with lavage and biopsy in time can significantly improve the diagnosis rate of bronchial tuberculosis,reduce the missed diagnosis and misdiagnosis,improve the prognosis of patients,and reduce the incidence of complications.
作者
黄洁玉
Huang Jieyu(Center for Disease Control and Prevention of Yunnan Province 655000)
出处
《中国社区医师》
2016年第4期140-141,共2页
Chinese Community Doctors
关键词
支气管结核
支气管镜
诊断
Endobronchial tuberculosis
Bronchoscopy
Diagnosis