经电子支气管镜诊断菌阴肺结核46例分析  

Electronic bronchoscopy diagnosis of pulmonary tuberculosis with tubercle baccillus undetected: 46 cases analysis

作　　者：龙成琴[1] 贺宇[1] 王慧[1] 李文[1] 周维[1] 郑玉琼[1] 

机构地区：[1]成都市中西医结合医院,四川成都610041

出　　处：《实用医院临床杂志》2015年第5期156-157,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨支气管镜检查对菌阴肺结核的诊断价值。方法对46例菌阴肺结核患者行支气管镜灌洗、刷检标本做抗酸染色涂片检查。结果 46例患者均获得肺结核细菌学诊断依据。纤刷阳性率与灌洗阳性率比较,差异无统计学意义(P=0.08),纤刷或灌洗液阳性率均高于纤刷阳性率和灌洗阳性率(P<0.05)。结论行支气管镜下灌洗、刷检对菌阴肺结核具有一定诊断价值,有条件应尽早做支气管镜检查。Objective To investigate the diagnostic value of electronic bronchoscopy for pulmonary tuberculosis with tubercle baceillus undeteeted（uTB-PT）. Methods Specimens from 46 uTB-PT cases via bronchus alveolus and lavage brush examining were inspected by acid-fast staining. Results The 46 cases were diagnosed based on tuberculosis bacteriology. The difference between brush and lavage positive rates was not significant（ P = O. 08）. However ,the positive rate of brash/lavage was significantly higher than that of brush or lavage. Conclusion The bronchus alveolus and lavage brush examining has a certain diagnostic value. Therefore, it should be performed as early as possible.

关 键 词：电子支气管镜 菌阴肺结核 临床意义 

分 类 号：R521[医药卫生—内科学]