摘要
目的加强对支气管内膜结核早期征象的认识,提高诊治水平。方法收集了经活检和(或)刷栓和(或)痰查结核分枝杆菌检查证实的19例支气管内膜结核病例,分析螺旋CT和纤维支气管镜的检查结果、诊断准确率,比较两者的符合率。结果螺旋CT检查支气管异常发现率89．4%(17/19),确诊率为21．1%(4/19)；纤维支气管镜检查支气管异常发现率100．0%,活检阳性率47．4%(9/19),刷检阳性率36．8%(7/19),纤维支气管镜总阳性率84．2%(16/19)。结论CT对支气管内膜结核有重要诊断价值,但缺乏诊断特异性；纤维支气管镜检查是目前支气管内膜结核临床诊断最有效、最敏感的方法。
Objective To raise diagnose of bronchial tuberculosis, to deepen its early clinical characteristics. Methods Analysis to the CT and endoscopic examine result, positive rate, their accordant rate of 19cases of bronchial tuberculosis diagnosed by endoscopic biopsy, endoscopic brush and smear and sputum examination. Results 17cases were abnormal （89.4%） and 4cases were diagnosed （ 21.1% ） by CT in 19cases. All cases were abnormal by bronchofiberscope （ 100.0% ）, 9cases were diagnosed by biopsy （ 47.4% ） ; smear sample from bronchofiberscope, 7cases were positive （36.8%）. All positive rate of bronchofiberscope took 84. 2%. Before bronchofiberscope, being done, 2 ～ 6 times of sputum examination per person have been done in 19cases, only 7cases were positive （36. 8% ）. Conclusion To bronchial Tuberculosis, the CT is important diagnostic value, but it is lack of specific diagnosis; the bronchofiberscope is most effective and sensitive method in clinical diagnosis at present.
出处
《实用心脑肺血管病杂志》
2006年第7期532-534,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
