摘要
目的通过对136例支气管结核临床分析,提高对支气管结核的认识。方法对2007年1月至2008年8月同济大学附属肺科医院确诊为支气管结核136例住院患者的临床表现、影像学表现、气管镜下表现进行回顾性分析。结果男性37例,平均年龄(40.19±15.64)岁;女性99例,平均年龄(33.97±13.63)岁。男女比为1∶2.68,男女两组发病年龄差异有统计学意义(P=0.025)。临床表现主要为咳嗽咳痰或刺激性干咳、发热、咯血或血痰、胸闷气促等。胸部CT表现为主支气管或叶段支气管狭窄、变形、中断,管壁不规则增厚,结节样突起;肺叶或肺段的阻塞性不张、阻塞性肺气肿等。气管镜下表现为充血水肿、干酪坏死、肉芽增殖、瘢痕狭窄。结论支气管结核好发于青年女性,临床表现缺乏特异性,胸部CT、气管镜检查都是发现支气管结核的重要的检查手段。
Objective To improve the understanding of endobronchial tuberculosis （EBTB） through analysis of clinical cases. Methods The clinical characteristics, radiological and bronchoscopical manifestations of 136 hospitalized patients diagnosed with EBTB from January 2007 to August 2008 were analyzed retrospectively. Results The study included 37 male cases with average age of （40.19±15.64） , and 99 female cases with average age of （33.97± 13.63） , gender ratio being 1： 2.68. The age difference between the male and female groups is significant （ P = 0. 025 ）. The main clinical manifestations of EBTB included cough sputum, irritating dry cough, fever, hemoptysis, chest tightness and short of breath. Chest CT showed tracheobronchial stenosis, deformation, or discontinuity, irregular wall thickening, nodular protrusion, lobe or segment obstructive atelectasis, and obstructive pulmonary emphysema. Bronchoscope revealed the followings ： congestive edema, cheese necrosis, proliferation of granulation, and scar narrowing. Conclusion EBTB is particularly prevalent in young women, and lacks specific symptoms. Both chest CT and bronchoscope are the key means to diagnose EBTB.
出处
《同济大学学报（医学版）》
CAS
2009年第5期115-118,共4页
Journal of Tongji University(Medical Science)
