CAJ | 학술논문

目的：对比分析不同检测方法和不同检测标本在结核杆菌检测结果中的意义。方法选取本科室收治的初次我院就诊并临床诊断符合“肺结核”标准的158例患者的痰液和肺泡灌洗液，对所有的标本均进行两次抗酸染色涂片、两次快速培养检测结核杆菌(1次及1次以上阳性均记为阳性)。结果1.快速培养法的结核杆菌检出率高于抗酸染色涂片法；2.肺泡灌洗液的结核杆菌阳性率均高于痰液。结论快速培养法是临床工作中确诊结核病的首选方法，肺泡灌洗液能有效提高肺结核的诊断率。
목적：대비분석불동검측방법화불동검측표본재결핵간균검측결과중적의의。방법선취본과실수치적초차아원취진병림상진단부합“폐결핵”표준적158례환자적담액화폐포관세액，대소유적표본균진행량차항산염색도편、량차쾌속배양검측결핵간균(1차급1차이상양성균기위양성)。결과1.쾌속배양법적결핵간균검출솔고우항산염색도편법；2.폐포관세액적결핵간균양성솔균고우담액。결론쾌속배양법시림상공작중학진결핵병적수선방법，폐포관세액능유효제고폐결핵적진단솔。
Objective To analyze of the significance of different detection methods and different samples in patients with mycobacterium tuberculosis. Methods The sputum and bronchoalveolar lavage fluid of 158 patients were given 2 times of acid fast stain smear and 2 times rapid culture for the detection of mycobacterium tuberculosis. Results The detection rate of mycobacterium tuberculosis was higher by the rapid method than by acid fast stain smear method. The positive rate of mycobacterium tuberculosis was higher in bronchoalveolar lavage fluid than in spu-tum. Conclusion Rapid culture method is the first-choice method for the diagnosis of tuberculosis in clinical work, and bronchoalveolar lavage fluid can effectively improve the diagnostic rate of pulmonary tuberculosis.