摘要
目的通过回顾观察,分析不同类型气管支气管结核病例的临床特点、发病部位、各亚型发病比率,以提高临床医生对该病的认识。方法回顾性收集2013年6月1日至2016年5月31日结核病区住院及门诊就诊的活动性肺结核合并气管支气管结核患者共478例。对气管支气管结核的临床特点、发病部位、各亚型发病比例进行统计分析。结果气管支气管结核男女比例为1∶1.93,平均年龄(36.22±14.24)岁;发病类型中,炎症浸润型最常见,占54.81%,其次为混合型(两种以上亚型),占40.59%;结核累及左上叶支气管42.47%,右上叶支气管39.12%。结论气管支气管结核发病女性多于男性,且以青壮年居多。炎症浸润型多见,呈多型病变交叠存在。气管支气管结核多侵犯多个气管段,最常侵犯部位为双上叶支气管,其次为左下叶支气管。
Objective To observe and analyze retrospectively the clinical characteristics,diseased region,the incidence rate of different subtypes of tracheobronchial tuberculosis in order to increase the realization of clinical doctors for the disease. Methods The data about 478 patients with active tuberculosis complicated by tracheobronchial tuberculosis who were admitted and treated in our hospital from June 2013 to May 2016 were retrospectively analyzed to statistically analyze the clinical characteristics,diseased region and the incidence rate of different subtypes of tracheobronchial tuberculosis. Results The statistical analysis showed that sex ratio of tracheobronchial tuberculosis was 1 ∶ 1. 93,with average age being（ 36. 22 ±14. 24） years. The inflammatory infiltration type accounted for 54. 81%,and mixed subtype（ more than two subtypes）accounted for 40. 59%. The proportion of tuberculosis involving bronchus lobaris superior sinister was 42. 47%,and the one involving bronchus lobaris superior dexter was 39. 12%. Conclusion The female patients with tracheobronchial tuberculosis are more than male patients,moreover,majority of patients are young adults. The inflammatory infiltration type is more common,with multiple pattern changes overlap. The tracheobronchial tuberculosis is often involved in multiple bronchus,and the most invasion region is two upper lobe bronchus,next one is bronchus lobaris inferior sinister.
出处
《河北医药》
CAS
2018年第3期397-400,404,共5页
Hebei Medical Journal
关键词
支气管镜介入
结核
肺
病变分型
发病部位
bronchoscope intervention
TB/lung
lesions type
lesion position
