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15年内共进行纤维支气管镜检查6018例,确诊为肺结核132例占2.19%。此132例患者纤维支气管镜检查前临床诊断肺结核18例占13.6%。纤维支气管镜肉眼诊断仅22例占16.7%,但最后均通过纤支镜刷片找到抗酸菌及活检病理证实,刷检(57/132)占43%,活检占(66/132)50%,提示刷检与活检同时进行可提高阳性率。该组胸部X线表现下叶病变占(38/132)34.7%,空洞占(17/132)13%,肺不张占(33/132)25%,均属不典型X线表现,常被误诊为肺炎、肺脓肿、或肿瘤,对临床可疑肺结核或与肺结核、肺癌难以鉴别时纤维支气管镜有重要价值。
A total of 6018 cases of bronchoscopy were performed within 15 years, and 132 cases were diagnosed as pulmonary tuberculosis (2.19%). The 132 cases of bronchoscopy before the clinical diagnosis of tuberculosis in 18 cases accounted for 13.6%. Fiberoptic bronchoscopy was diagnosed by naked eye in only 22 cases, accounting for 16.7% of all cases. However, the results of biopsy and biopsy were confirmed by fibrobronchial brush biopsy. The results of biopsy (57/132), biopsy (66/132) 50%, suggesting that brushing and biopsy can increase the positive rate at the same time. The chest X-ray showed lower leaf lesions accounted for (38/132) 34.7%, voids (17/132) 13%, atelectasis (33/132) 25%, are atypical X-ray findings, Often misdiagnosed as pneumonia, lung abscess, or tumor, the clinical suspicious tuberculosis or tuberculosis, lung cancer is difficult to identify when the fiber bronchoscopy has important value.