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目的探讨纤维支气管镜在气管、支气管内膜结核诊断、治疗中的价值。方法回顾性分析 83例气管、支气管内膜结核患者的纤维支气管镜的诊断与治疗。结果发现新生物样或肉芽样改变 38例 ( 4 5 .8% ) ,管腔狭窄或闭塞 30例 ( 36 .1% ) ,局部充血、水肿 15例( 18.1% )。经粘膜活检病理确诊 74例 ( 89.2 % ) ,刷检细菌学证实 9例 ( 10 .8% )。 6例予病变支气管内滴注或 (及 )支气管粘膜下注射抗结核药治疗。结论纤维支气管镜在气管、支气管内膜结核的诊断治疗中具有重要地位 ;要建立支气管内“正常区”与“病变区”的相对概念及遵循“先正常后病变”的检查顺序
Objective To investigate the value of fiberoptic bronchoscopy in the diagnosis and treatment of tracheal and endobronchial tuberculosis. Methods A retrospective analysis of 83 cases of bronchial and endobronchial tuberculosis patients with bronchoscopy diagnosis and treatment. The results showed that there were 38 cases (45.8%) with neoplastic or granulomatous changes, 30 cases (36.1%) with stenosis or occlusion, and 15 cases (18.1%) with local congestion and edema. The pathological diagnosis of mucosal biopsy in 74 cases (89.2%), brush examination confirmed 9 cases (10.8%). Six patients were given intra-bronchial instillation or bronchial submucosal injection of anti-TB drugs. Conclusions Fiberoptic bronchoscopy plays an important role in the diagnosis and treatment of tracheal and endobronchial tuberculosis. To establish the relative concept of “normal area” and “lesion area” within the bronchus and to follow the examination sequence of “first normal post-lesion”