气管支气管结核诊治新进展  

New progress in diagnosis and treatment of tracheobronchial tuberculosis

作　　者：莫胜林(综述)[1] 蒋忠胜(审校)[1] MO Shenglin;JIANG Zhongsheng(Second Department of Infectious Disease,Liuzhou Municipal People′s Hospital,Liuzhou,Guangxi 545006,China)

机构地区：[1]广西壮族自治区柳州市人民医院感染性疾病科二病区,545006

出　　处：《重庆医学》2021年第11期1927-1931,共5页Chongqing medicine

基　　金：“十三五”国家科技重大专项(2018ZX10302104);广西壮族自治区医药卫生课题(Z20180304);广西壮族自治区柳州市人民医院院内基金立项项目(LRY201905);广西壮族自治区柳州市人民医院院内基金立项项目(LRY201715)。

摘　　要：气管支气管结核(TBTB)是指气管、支气管发生结核分枝杆菌感染,由于其临床特征、影像学检查无特异性,约有20%的患者因为影像学显示正常而被漏诊或延误诊断。TBTB将引起支气管狭窄、闭塞、肺不张、呼吸衰竭等不良事件,其中高达90%的患者存在一定程度的支气管狭窄。文章对TBTB的流行病学资料、感染途径、临床特征、诊断及治疗等方面的相关进展进行综述,以期给TBTB的诊断及治疗提供一定的参考。Tracheobronchial tuberculosis(TBTB)refers to the Mycobacterium tuberculosis infection of trachea and bronchia.Because its clinical features and imaging examination have no specificity,about 20%of patients are missed or delayed in diagnosis because of normal imaging display.TBTB will cause the adverse events such as bronchial stenosis,occlusion,atelectasis and respiratory failure,and up to 90%of these patients have some degrees of bronchial stenosis.This article reviews the related progress in the aspects of epidemiology,route of infection,clinical features,diagnosis and treatment of TBTB in order to provide some reference for the diagnosis and treatment of TBTB.

关 键 词：气管支气管结核 支气管镜 介入治疗 

分 类 号：R523[医药卫生—内科学]