CAJ | 학술논문

目的探讨电子支气管镜检查在痰菌阴性肺结核中的诊断价值.方法回顾性分析60例菌阴肺结核患者的电子支气管镜检查结果,了解镜下表现及组织活检病理、支气管镜刷检涂片和术后痰涂片找抗酸杆菌3种不同取材方法对肺结核诊断的阳性率.结果60例患者中54例镜检发现异常,电子支气管镜主要表现为黏膜充血水肿36.7%(22/60)、溃疡或干酪样坏死13.3%(8/60)、增厚粗糙6.7%(4/60)、管腔狭窄21.7%(13/60)及肉芽肿样结节11.7%(7/60).组织活检、刷检涂片及术后痰涂片检查的阳性率分别是59.3%、66.6%和43.3%,全部病例均经电子支气管镜确诊,确诊率100%.结论电子支气管镜检查在菌阴肺结核诊断中有重要价值,可提高确诊率,减少误诊.
목적탐토전자지기관경검사재담균음성폐결핵중적진단개치.방법회고성분석60례균음폐결핵환자적전자지기관경검사결과,료해경하표현급조직활검병리、지기관경쇄검도편화술후담도편조항산간균3충불동취재방법대폐결핵진단적양성솔.결과60례환자중54례경검발현이상,전자지기관경주요표현위점막충혈수종36.7%(22/60)、궤양혹간락양배사13.3%(8/60)、증후조조6.7%(4/60)、관강협착21.7%(13/60)급육아종양결절11.7%(7/60).조직활검、쇄검도편급술후담도편검사적양성솔분별시59.3%、66.6%화43.3%,전부병례균경전자지기관경학진,학진솔100%.결론전자지기관경검사재균음폐결핵진단중유중요개치,가제고학진솔,감소오진.
Objective? To investigate the diagnostic value of electronic bronchoscope in pulmonary tuberculosis cases with tubercle bacillus undetected (uTB-PT).Methods The results of electronic bronchoscope examinations of 60 patients with uTB-PT were retrospectively analyzed, in order to know the main presentations under electronic bronchoscope and the positive rate of diagnosis of pulmonary tuberculosis about pathological biopsy, bronchial brushing smear and sputum smear acid-fast stain test. Results Among 60 patients, macroscopic abnormality can be directly observed in 54 patients.The main presentations under electronic bronchoscope were hyperemia and mucosa swelling 36.7% (22/60), ulcers or caseous necrosis 13.3%(8/60),granulation hyperplasia 6.7%(4/60), stenosis of lumen 21.7%(13/60) and granuloma-like nodules 11.7%(7/60). The positive rates of pathological biopsy、brushing smear and sputum smear acid-fast stain test were 59.3% 、66.6%、43.3% respectively. All cases were examined by electronic bronchoscope . The final diagnosis rate was 100%. Conclusion Electronic bronchoscope examination has important diagnostic value in pulmonary tuberculosis cases with tubercle bacillus undetected. It can improve the final diagnosis rate and reduce misdiagnosis rate.