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报道经纤维支气管镜检查并最后确诊的４７例支气管内膜结核患者，其纤维支气管镜下形态表现多样性，以粘膜粗糙、充血最常见（占５５．３％），局部瘢痕狭窄（占２３．４％），部分（尤其老年人）可表现为腔内肿物（占２３．４％）易误诊为支气管肺癌。通过纤支镜检查、配合粘膜活检病理、刷检涂片找抗酸杆菌、检测结核菌ＤＮＡ，以及术后３天内留痰涂片查抗酸杆菌等检测手段可大大提高结核病的诊断率。重复纤支镜检查对结核与肿瘤的鉴别以及抗痨治疗效果的判定很有意义。
Reported by bronchoscopy and the final diagnosis of bronchiectasis in 47 cases of patients with endobronchial tuberculosis, the bronchoscopic morphology of its diversity, with mucosal rough, the most common congestion (55.3%), local scar stenosis (23%). 4%), some (especially the elderly) can be manifested as luminal masses (23.4%) easily misdiagnosed as bronchial lung cancer. Through the bronchoscopy, combined with mucosal biopsy, brush smear to find acid-fast bacilli, detection of tuberculosis DNA, and sputum smear 3 days after the check acid-fast bacilli and other detection means can greatly improve the diagnostic rate of tuberculosis. Repeated fiberoptic bronchoscopy and tuberculosis identification and anti-tuberculosis treatment effect of the decision makes sense.