摘要
目的 探讨老年人支气管内膜结核 (EBTB)的临床特征、确诊的手段及其治疗。方法 分析 2 4例老年患者确诊为EBTB的临床表现、胸部X线、CT、纤维支气管镜 (纤支镜 )检查结果。结果 2 4例老年患者临床表现呈多样性 ,2 4例涂片抗酸染色者中 5例阳性。 19例行纤支镜检查 ,刷检抗酸杆菌阳性 13例 (占 68.4% ) ,活检组织病理学检查呈慢性炎症改变 12例 (占 63 % ) ,且误诊率高 ,误诊为肺癌 11例 (占 45 8% )。结论 老年EBTB缺乏特异性临床表现 ,胸部X线及CT诊断价值不高 ,确诊主要依靠纤支镜检查 ,行镜下常规刷检找抗酸杆菌和组织学活检阳性率高 ,且简捷值得推广。对高度怀疑支气管内膜结核的老年患者不能耐受纤支镜检查者 。
Objective\ To explore the clinical features definite diagnosis and treatment of elderly endobronchial tuberculosis.Methods\ Clinical symptoms chest X-ray/CT manifestations and fiberoptic bronchoscopic findings of 24 cases with elderly endobronchial tuberculosis were analyzed.Results\ 24 cases with elderly endobronchial tuberculosis manifested variously,bronchoscopic results showed positive results were found in 5 out of 24 by sputum acid-fast staining,13 out of 19 by bronchoscopic brushing smears and 12 out of 19 by bronchial biopsies.Conclusions\ The clinical features of elderly endobronchial tuberculosis are non-specific,in contrast to chest X-ray/CT bronchoscopy plays an inpatients role in definite diagnosis of the disease.If elderly patients,did not bear the examination of fiberoptic bronchoscopy,they would be given diagnostic treatment.
出处
《医师进修杂志》
北大核心
2003年第10期18-18,34,共2页
Journal of Postgraduates of Medicine
关键词
结核
支气管
纤支镜检查
tuberculosis
bronchus
bronchoscopy
