目的　探讨CT对支气管内膜结核的诊断价值。方法　回顾性分析 14例经纤支镜活检证实的支气管内膜结核的CT表现。结果　 14例肺叶、段支气管起始或分支部狭窄 ,其中 6例锥形狭窄引起完全性肺不张并大量胸腔积液 ,8例管壁增厚 ,向心狭窄 3例 ,偏心狭窄 5例 ,伴息肉 3例。狭窄较局限 ,无肿块及反“S”征。不张或实变区有窄后扩张的支气管充气征。 9例伴肺内结核 ,占 64 .3 %。结论　CT对支气管内膜结核有重要诊断价值 ,能区别肿瘤性或非肿瘤性支气管狭窄。但早期仍需借助于纤支镜活检。 Objective To investigate the diagnostic value of CT in bronchial endometrial tuberculosis. Methods The CT findings of bronchial endometrial tuberculosis confirmed by fiberoptic bronchoscopy were analyzed retrospectively. Results In the 14 cases, the bronchus of the lung and segment had a constricted or initial branch. Among them, 6 cases of conical stenosis caused complete atelectasis and massive pleural effusion. There were 8 cases of wall thickening, 3 cases of stenosis, 5 cases of eccentric stenosis, With polyps in 3 cases. Narrow more limited, no lumps and anti “S” sign. Atelectasis or consolidation of a narrow post-extension bronchial inflatable sign. Nine patients with pulmonary tuberculosis, accounting for 64.3%. Conclusion CT has important diagnostic value for bronchial endometrial tuberculosis, which can distinguish between neoplastic or non-neoplastic bronchial stenosis. But still need to rely on early fiberoptic biopsy.