摘要
目的:探讨支气管结核(EBTB)的临床特点,提高诊治水平。方法:分析16例被误诊的支气管结核的临床表现、胸部影像学、纤维支气管镜(FB)等辅助检查征象。结果:临床表现主要有咳嗽,咳痰,伴或不伴胸闷,气紧;胸片或胸部CT平扫11例未见明显异常,肺不张3例,2例高分辨率CT(HRCT)可见支气管壁不规则增厚,管腔狭窄;纤维支气管镜(FB)检查经刷检及活检全部确诊EBTB,诊断率100%。结论:支气管结核临床表现缺乏特异性,痰菌阳性率低,胸片或胸部CT平扫无明显异常,纤维支气管镜检查是诊断支气管结核最有效的方法。高分辨率CT作为无创性检查可提高支气管结核诊断率。
Objective：To investigate the clinical features of bronchial tuberculosis （EBTB） and improve the diagnosis and treatment.Methods：Analysis the clinical manifestations, chest imaging, fiberoptic bronchoscopy （FB）about 16 cases of bronchial tuberculosis misdiagnosed.Results：Major clinical manifestations were cough, expectoration, with or without chest tightness, gas tight; chest X-ray or chest CT scan in 11 cases had no obvious abnormalities, 3 cases of atelectasis, 2 cases of high-resolution CT （HRCT） could be seen irregular bronchial wall thickening, luminal stenosis; All cases were confirmed EBTB by fiberoptic bronchoscope （FB） examination using brushing and biopsy, the diagnosis rate was 100%. Conclusion：The bronchial tuberculosis lack of specific clinical manifestations, positive conversion rate of tuberculosis is low, chest X-ray or chest CT scan is non-obviously. It is the most effective diagnostic method to diagnosis endobronchial tuberculosis by fiberoptic bronchoscopy. High-resolution CT as a non-invasive examination can improve the diagnosis rate of bronchial tuberculosis.
出处
《中国当代医药》
2009年第14期44-45,共2页
China Modern Medicine
关键词
支气管结核
纤维支气管镜
单纯性
胸部CT
Endobronchial tuberculosis
Fiberoptic bronchoscopy
Simple bronchoscopy
Chest CT
