梯度高渗盐水雾化导痰联合纤支镜检查对菌阴不典型肺结核的诊断价值  

Diagnostic value of fiberoptic bronchoscopy and ultrasonic atomization with gradient hypertonic saline to induce sputum for atypical pulmonary tuberculosis

作　　者：李站领[1] 徐东波[1] 彭勋[1] 李艳静[2] 赵培利[3] 常占平[2] 

机构地区：[1]河北省秦皇岛市第三医院呼吸内科,066001 [2]河北省秦皇岛市第三医院肺病二科,066001 [3]河北省秦皇岛市第三医院医教科,066001

出　　处：《中国误诊学杂志》2012年第17期4524-4526,共3页Chinese Journal of Misdiagnostics

基　　金：秦皇岛市科技局支撑计划（200815）

摘　　要：目的探讨纤维支气管镜活检与刷检联合梯度高渗盐水雾化导痰对不典型肺结核临床诊断价值。方法129例患者进行梯度高渗盐水雾化导痰共149次，96例痰菌阴性的不典型肺结核患者进行纤支镜肺活检并刷检共129次。结果经纤支镜肺活检并刷检获得诊断者65例，诊断率为67．70％。经梯度高渗盐水雾化导痰诊断者33例，诊断率为45．11％，二者结合后的诊断率明显提高为75．97％。结论上述两种方法的结合应用，可明显提高菌阴不典型肺结核的诊断率，值得临床推广应用。Objective To evaluate the diagnostic value of fiberoptic bronchoscopy and ultrasonic atomization with gradient hypertonic saline for induction sputum in bacteriological negative pulmonary tuberculosis. Methods 96 cases of atypical pulmonary tuberculosis received fiberoptic bronchoscope examination for 129 times;and 129 eases had not been diagnosed which received ultrasonic atomization to induce sputum for 149 times. Results 65 eases had been di- anosed by fiberoptic bronchoscopy,and account for 67.70~ ;33 eases had been diagnosed by ultrasonic atomization to induce sputum, and account for 45.11% ;while the concordance was 75.97 % when two methods were used to- gether. Conclusion The combination of the above two methods is worthy to be popularized and applied, which can increase the diagnosis rate of pulmonary tuberculosis obviously.

关 键 词：结核 肺/诊断 支气管镜检查/方法 

分 类 号：R521[医药卫生—内科学]