纤维支气管镜检查气管支气管结核43例体会

摘要

目的：探讨纤维支气管镜（纤支镜）对诊断气管支气管结核（TBTB）的价值。方法回顾性分析2008年10月~2013年5月经纤支镜确诊的43例支气管结核患者的临床特征和纤支镜下表现。结果43例支气管结核患者主要临床表现为咳嗽、咳痰、咳血、胸痛、发热、盗汗、乏力、气促。所有病例均有纤支镜下典型的病变表现。经纤支镜检查得以确诊。结论支气管结核临床表现缺乏特异性，纤支镜是早期诊断气管支气管结核的重要方法，尤其是痰涂片找抗酸杆菌检查阴性和影像学表现不明显者的重要手段[1-3]，可降低误诊、漏诊率。%Objective To evaluate the ef ect of fiber bronchoscope (FB) on the diagnosis of endobronchial tuberculosis (TBTB) value. Methods:a retrospective analysis of 43 cases of bronchial tuberculosis patients in 2008 October-2013 year 5 menstruation bronchoscopy confirmed the clinical features and bronchoscopyfindings. Results:43 cases of bronchial tuberculosis in patients with the main clinical manifestations were cough, expectoration, hemoptysis, chest pain, fever,night sweats, fatigue, shortness of breath. Lesions of al cases hadbronchoscopy typical. The diagnosis was confirmed by bronchoscopy. Conclusion:the clinical manifestation of bronchial tuberculosis lack specificity,fiberoptic bronchoscopy is an important method for early diagnosis of tracheobronchial tuberculosis, especial y the important means of sputum smearfor acid fast bacil i examination was negative and imaging findings are not obvious. Can reduce the rate of missed diagnosis, misdiagnosis.