论文部分内容阅读
目的探讨支气管内膜结核的临床特点、X线征象、纤维支气管镜下表现。方法回顾性分析 2 7例经纤维支气管镜检查证实的支气管内膜结核患者的临床资料。结果临床主要表现有咳嗽、咳痰、发热 ;大部分患者血沉增快 ,结核菌素阳性率较高 ,但痰菌阳性率低 ;纤维支气管镜下表现有充血、水肿、粘膜增厚、粗糙、管腔狭窄、阻塞、肉芽肿形成等。结论支气管内膜结核以中、下叶较多见 ,误诊率高 ,纤维支气管镜下刷检、活检是主要的诊断手段
Objective To investigate the clinical features of bronchial endometrial tuberculosis, X-ray signs and bronchoscopic findings. Methods The clinical data of 27 patients with endobronchial tuberculosis confirmed by fibrobronchoscopy were retrospectively analyzed. Results The main clinical manifestations of cough, sputum, fever; most patients ESR, tuberculin positive rate, but the sputum positive rate; fibrobronchoscopy showed congestion, edema, mucosal thickening, rough, Stenosis, obstruction, granuloma formation and so on. Conclusions Bronchial endometrial tuberculosis is more common in middle and lower lobe, with higher misdiagnosis rate. Brushoscopy and biopsy under fiberoptic bronchoscopy are the main diagnostic methods