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目的探讨支气管结核的临床特点,纤微支气管镜(纤支镜)在支气管结核诊断和治疗中的价值。方法分析118例支气管结核的临床表现、影像学表现、支气管镜下表现,检查结果及通过支气管镜治疗的效果。结果支气管结核好发于年轻女性,临床表现和胸部X片及胸部CT检查均无特异性。支气管镜下5种类型均有发现。经支气管镜行刷检和活组织病理检查阳性率高;在支气管镜下进行介入治疗118例中,显效106例,占89.8%,有效10例,占8.5%,无效2例,占1.7%,总有效率为98.3%。结论支气管结核的临床表现缺乏特异性,纤支镜检查和局部给药对支气管结核的诊断和治疗都有重要意义。
Objective To investigate the clinical characteristics of bronchial tuberculosis, bronchoscopy (bronchoscopy) in the diagnosis and treatment of bronchial tuberculosis. Methods 118 cases of bronchial tuberculosis clinical manifestations, imaging findings, bronchoscopic performance, test results and the results of bronchoscopy. Results Bronchial tuberculosis occurred in young women, clinical manifestations and chest X-ray and chest CT examination showed no specificity. Bronchoscopy were found in all 5 types. The bronchoscopy brush biopsy and biopsy positive rate; in bronchoscopy interventional treatment of 118 cases, markedly effective 106 cases, accounting for 89.8%, effective in 10 cases, accounting for 8.5%, 2 cases, accounting for 1.7% The total effective rate was 98.3%. Conclusions The clinical manifestations of bronchial tuberculosis are lack of specificity. Fiberoptic bronchoscopy and local administration are important for the diagnosis and treatment of bronchial tuberculosis.