摘要
目的 探索支气管内膜结核 (EBTB)的临床特征及早期确诊方法。方法 分析 2 77例EBTB的临床表现、胸部X线 (或CT)、纤支镜检查结果。结果 2 77例中症状主要包括 :咳嗽 2 4 6例 ,发热 12 7例 ,咯血 6 9例 ,胸闷4 3例 ,胸痛 4 1例。 15例胸片正常 ,8例CT怀疑EBTB。纤支镜检查 4 1%有炎症浸润型病变 ,2 6 %有狭窄闭塞型病变 ,18%有溃疡型病变 ,8%有增殖型病变 ,7%大致正常。行抗酸染色检查痰涂片阳性率 9% ,纤支镜刷片阳性率91%。经纤支镜行活组织检查中有 30 %证实为结核。另有 2 4例同时找到癌细胞。结论 EBTB确诊主要靠纤支镜检查。对疑似EBTB者及时行纤支镜检查 ,并行常规刷检找抗酸杆菌和 (或 )组织活检 ,有助于诊断EBTB。
Objective To explore the clinical features and early definite diagnosis of endobronchial tuberculosis (EBTB).Methods Clinical symptoms,chest X-ray/CT manifestations and fiberoptic findings of 277 cases with EBTB were analyzed.Results Main symptoms were follows:cough in 246 cases,fever in 127, haemoptysis in 69,dyspnea in 43, chest pain in 41, etc. 15cases in chest X-ray were normal ,and 8cases in CT were suspected of EBTB. Bronchoscopic results showed exudative lesions in 41% of the cases, cicatricial lesions in 26%, ulcerative lesions in 18%, granulomatous lesions in 8% ,and normal-like demonstrations in 7% . Positive resultives were found in 9% by sptum acid-fast staining, in 91% by bronchoscopic brushing smears,and 30% by bronchical biopsies.Cancer cell were been found in 24 cases.Conclusions Bronchoscopy play an important role in definite diagnosis of the EBTB. When patient were be suspected EBTB, early fiberoptic bronchoscopy should be performed, and the brushing examination for acid-fast bacillus and biopsy should be done.
出处
《遵义医学院学报》
2002年第4期323-324,共2页
Journal of Zunyi Medical University
