纤维支气管镜检查对痰菌阴性下肺野结核的诊断评价(附26例报告)  

Dianostic value of fiberoptic bronchoscopy for the lower lung field tuberculosis with sputum smear negative

作　　者：夏东[1] 徐玉华[1] 陈雪林[1] 

机构地区：[1]北京胸科医院

出　　处：《中国防痨杂志》1999年第2期89-90,共2页Chinese Journal of Antituberculosis

摘　　要：目的评价纤维支气管镜（以下简称纤支镜）对痰菌阴性下肺野结核的诊断价值。方法选痰菌阴性下肺野阴影２６例，经纤支镜检查，进行肺活检、刷片或灌洗液查结核菌。结果２６例纤支镜镜下主要所见为结核肉芽新生物、粘膜充血水肿、开口狭窄等表现。其中１２例经纤支镜肺活检，８例病理证实为结核肉芽肿，阳性率为６６７％；５例纤支镜刷片或灌洗液查出结核菌，占１９２％（５／２６）。确诊率为８４６％。结论纤支镜检查对痰菌阴性下肺野结核的诊断具有一定的临床价值。Object To evaluate the value of fiberoptic bronchoscopy to the lower lung field tuberculosis with sputum smear negative.Method 26 cases with lower lung field shadow and sputum smear negative were chosen for bronchoscopy.Results Major finding detected by fiberoptic bronchoscopy were:tuberculous granuloma;mucosae congestion and edema;bronchiole stomatal stenosis.TBLB was performed in 12 cases.Tuberculous granuloma was found in 8 cases with the positive rate of 66 7%.M.tuberculosis bacterium was found in 5 cases(19 2%,5/26)by brush smear or BALF.The general positive diagnosis rate was 84 6%.Conclusion Fiberoptic bronchoscopy plays an important role in the diagnosis of lower lung field tuberculosis.

关 键 词：诊断 纤维支气管镜 肺结核 

分 类 号：R521.04[医药卫生—内科学]