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报道68例非好发部位肺结核(两上对前段28例,中、舌叶33例,两下叶基底段7例)纤支镜检查结果。全组95.6%(65/68)管腔内发现异常改变,其中粘膜充血水肿18例,浸润糜烂16例,肉芽肿样新生物23例,乳头状新生物2例,管腔狭窄变形4例,粘膜增厚僵直4例。13例发现淋巴结支气管瘘。镜下活检阳性率78.5%,刷检涂片阳性率39.7%。提示纤支镜检查对非好发部位肺结核有一定诊断价值。
Reported 68 cases of non-predilection tuberculosis (two pairs of the anterior segment of the 28 cases, 33 cases of tongue, the middle of the two basal lobes in 7 cases) bronchoscopy results. The whole group of 95.6% (65/68) found abnormal changes in the lumen, mucosal congestion and edema in 18 cases, infiltration erosion in 16 cases, 23 cases of granulomatous neoplasms, papillary neoplasms in 2 cases, stenosis 4 Cases, mucosal thickening stiff in 4 cases. 13 cases found lymph node bronchial fistula. Microscope biopsy positive rate of 78.5%, brush test smear-positive rate of 39.7%. Tips Fiberoptic bronchoscopy for non-tuberculous site has a certain diagnostic value.