目的 探讨电子支气管镜在支气管结核诊断中的作用.方法 对经电子支气管镜确诊的15例痰菌阴性支气管结核患者进行分析总结.结果 ①病变发生于右上叶4例,右中叶2例,右下叶1例,左支气管2例,左上叶4例,左舌叶2例.②炎症浸润型(Ⅰ型) 3例,溃疡坏死型(Ⅱ型)6例,肉芽增殖型(Ⅲ型) 4例,瘢痕狭窄型(Ⅳ型)1例,管壁软化型(Ⅴ型)1例.③活检的阳性率为66.7%,刷检阳性率为53.3%,灌洗阳性率为73.3%.结论 电子支气管镜是诊断支气管结核必需的检查手段,联合应用活检、刷检及灌洗对提高支气管结核的诊断率、避免误诊具有重要的意义.%Objective To study electronic bronchos rope in the diagnosis of endobronchial tuberculosis. Methods 15 patients of endobronchial tuberculosis with negative sputum confirmed by electronic bronchoscope in were retrospectively analyzed and summarized. Results ① Lesions in the right upper lobe occuied in4 cases,2 cases of the right middle lobe, right lower lobe in 1 cases, left bronchus in 2 cases, left upper lobectomy in 4 cases, and 2 cases of left lingula. ② Inflammatory infiltration type ( type Ⅰ ) was in 3 cases, ulcers and necrosis type ( type Ⅱ ) in 6 cases, granulation ( type Ⅲ ) in 4 cases, cicatiicial stenosis of type ( type Ⅳ ) in 1 cases, and tube wall type ( type Ⅴ ) in 1 cases. ③ The positive rate of the biopsy was 66. 1% , brushing the positive rate was 53. 3% , and the positive rate was 73. 3% in bal. Conclusion Electronic bronchoscope is necessary in the diagnosis of endobronchial tuberculosis, combined ap plication of biopsy, brush biopsy and lavage for improving the diagnosis of endobronchial tuberculosis, which could avoid misdiagnosis and has important significance.
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