利用纤支镜诊断菌阳肺结核合并支气管结核的临床分析40例  

Clinical analysis of 40 cases of bacterium-positive pulmonary tuberculosis with bronchial tuberculosis diagnosed by fiberoptic bronchoscopy

作　　者：高莹 GAO Ying(Dashuigou Hospital,Guiyang Public Health Rescue Center,Guizhou Guiyang 550000,China)

机构地区：[1]贵阳市公共卫生救治中心大水沟院区(结核一病区)

出　　处：《临床医药文献电子杂志》2019年第44期18-18,20,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨菌阳肺结核诊断支气管结核的价值。方法对40例活动性菌阳肺结核合并支气管结核患者的症状、体征、影像以及纤支镜镜下改变的临床收集资料。结果纤支镜镜检对于活动性菌阳肺结核确诊支气管结核的临床意义提供了主要手段;并且对于减少支气管结核的误诊。结论纤支镜是确诊菌阳肺结核的主要手段,影像学为辅助手段,纤支镜下局部治疗结合全身化疗可达到控制结核菌扩增的目的,对支气管结核的治疗具有重大意义。Objective To investigate the value of diagnosis of bronchial tuberculosis by pulmonary tuberculosis.Methods The clinical data of 40 patients with active pulmonary tuberculosis complicated with bronchial tuberculosis,including the symptoms, signs,imaging and changes of fiberoptic bronchoscopy. Results Fibrobronchoscopy provided the main means for the clinical significance of active bronchogenic tuberculosis in the diagnosis of bronchial tuberculosis;and to reduce the misdiagnosis of bronchial tuberculosis. Conclusion Fibrobronchoscopy is the main method for the diagnosis of pulmonary tuberculosis. Imaging is an auxiliary method. Local treatment with fiberoptic bronchoscopy combined with systemic chemotherapy can achieve the purpose of controlling the expansion of tuberculosis, which is of great significance for the treatment of bronchial tuberculosis.

关 键 词：菌阳肺结核 支气管结核 纤维支气管镜 

分 类 号：R521[医药卫生—内科学]