论文部分内容阅读
目的：探讨纤支镜肺活检对肺结核早期诊断价值及临床价值。方法收集2013年1月~10月就诊我院呼吸科拟诊肺结核患者,结合临床及影像学,分别行痰查抗酸杆菌检测、PPD实验和结核蛋白芯片检测和纤支镜下刷片、灌洗和活检。结果纤支镜下可以直观看到支气管浸润情况,PPD、结核蛋白芯片检测机纤支镜肺活检阳性率分别为42.3%、46.2%、80.8%。纤维支气管镜肺活检肺结核阳性率显著高于痰检和PPD实验及结合蛋白芯片检测。痰查抗酸杆菌纤支镜激惹后阳性率34.6%明显高于纤支镜前15.4%。结论纤支镜术特别是肺活检可以显著提高患者肺结核的诊断率及结核杆菌的检出率,有助于早期明确结核诊断。“,”Objective To assess the early diagnosis value and clinical value of fiberoptic bronchoscopy of lung biopsy for pulmonary tuberculosis. Methods Col ect patients of tuberculosis from 2013.1 to 2013.10 in the hospital combined with the clinical and imaging, respectively reasearch the phlegm check acid fast bacil i detection, PPD experiment and tuberculosis protein chip and bronchoscopy microscopic brush, lavage and biopsy. Results We can see bronchial infiltration intuitivily by bronchoscopy microscopic ,the positive rate of PPD experiment, tuberculosis protein chip testing by bronchoscopy mir or lung biopsy were 42.3%, 46.2%and 80.8%respectively. Fiberoptic bronchoscopy lung biopsy tuberculosis were significantly higher than that of sputum, and PPD experiment and binding protein chip detection. Phlegm check acid fast bacil i positive rate of 34.6%after bronchoscopy mir or irritability is significantly higher than 15.4%before a mir or. Conclusion Bronchoscopy mirror technique ,especial y lung biopsy can significantly improve the diagnosis of patients with pulmonary tuberculosis and the detection rate of mycobacterium tuberculosis, which can help clear diagnosis of tuberculosis early.