目的：探讨纤维支气管镜检查对不典型肺结核的诊断价值。方法回顾分析59例不典型肺结核患者，用纤维支气管镜检查，并在病变部位活检、刷检、支气管肺泡灌洗，进行病理学及细菌学检查，观察三者对肺结核诊断的阳性率。结果59例患者中52例（88%）均有不同程度的支气管壁浸润，而且累及范围与管壁浸润严重程度相关，活检病理、刷检、支气管肺泡灌洗的阳性率分别为59.6%、62.7%、71.4%，三者结合的阳性率100%。结论纤维支气管镜检查是诊断不典型肺结核的有效方法，但必须联合采用活检、刷检及支气管肺泡灌洗。%Objective To study the value of ifberoptic bronchoscopy in diagnosis of atypical pulmonary tuberculosis. Methods A retrospective analysis of 59 cases of atypical pulmonary tuberculosis by ifberoptic bronchoscopy, biopsy, and in the lesion, brush biopsy, bronchoalveolar lavage, pathological and bacteriological examination, the positive rate was three in the diagnosis of pulmonary tuberculosis. Results 59 patients in 52 cases (88%) had different degrees of bronchial wall invasion, and the extent and severity of the tube wall invasion, the positive rate of biopsy, brush biopsy, bronchoalveolar lavage were 59.6%, 62.7%, 71.4%, three with positive rate of 100%. Conclusion Fiberoptic bronchoscopy is an effective method for diagnosis of atypical pulmonary tuberculosis, but must be combined with biopsy, brush biopsy and bronchoalveolar lavage.
展开▼
