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本文报告104例痰结核阴性、胸片或临床表现酷似肺癌的肺结核,经抗炎及其他治疗疗效不佳,误诊为肺癌经纤维支气管镜(以下简称纤支镜)检查结果,104例确诊为肺结核,以毛刷刷检涂片100%查到结核杆菌。104例活检中50例病理诊断为结核(49.1%);54例病理诊断为慢性炎症(51.9%)。结果表明,纤支镜检查对酷似肺癌的肺结核起到极为重要的诊断价值。
This article reports 104 cases of sputum negative tuberculosis, chest X-ray or clinical manifestations of lung cancer resembles tuberculosis, anti-inflammatory and other curative effect is poor, misdiagnosed as lung cancer bronchoscopy (hereinafter referred to as bronchoscopy) test results, 104 cases of pulmonary tuberculosis , To brush brush test smear 100% found Mycobacterium tuberculosis. Of the 104 biopsies, 50 were pathologically diagnosed as tuberculosis (49.1%); 54 were pathologically diagnosed as chronic inflammation (51.9%). The results show that fiberoptic bronchoscopy resembles lung cancer tuberculosis has played an extremely important diagnostic value.