医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
1期
71-71
,共1页
结核%纤维支气管镜
結覈%纖維支氣管鏡
결핵%섬유지기관경
Tuberculosis%Bronchoscope
目的：探讨纤支镜肺活检对肺结核早期诊断价值及临床价值。方法收集2013年1月~10月就诊我院呼吸科拟诊肺结核患者,结合临床及影像学,分别行痰查抗酸杆菌检测、PPD实验和结核蛋白芯片检测和纤支镜下刷片、灌洗和活检。结果纤支镜下可以直观看到支气管浸润情况,PPD、结核蛋白芯片检测机纤支镜肺活检阳性率分别为42.3%、46.2%、80.8%。纤维支气管镜肺活检肺结核阳性率显著高于痰检和PPD实验及结合蛋白芯片检测。痰查抗酸杆菌纤支镜激惹后阳性率34.6%明显高于纤支镜前15.4%。结论纤支镜术特别是肺活检可以显著提高患者肺结核的诊断率及结核杆菌的检出率,有助于早期明确结核诊断。
目的：探討纖支鏡肺活檢對肺結覈早期診斷價值及臨床價值。方法收集2013年1月~10月就診我院呼吸科擬診肺結覈患者,結閤臨床及影像學,分彆行痰查抗痠桿菌檢測、PPD實驗和結覈蛋白芯片檢測和纖支鏡下刷片、灌洗和活檢。結果纖支鏡下可以直觀看到支氣管浸潤情況,PPD、結覈蛋白芯片檢測機纖支鏡肺活檢暘性率分彆為42.3%、46.2%、80.8%。纖維支氣管鏡肺活檢肺結覈暘性率顯著高于痰檢和PPD實驗及結閤蛋白芯片檢測。痰查抗痠桿菌纖支鏡激惹後暘性率34.6%明顯高于纖支鏡前15.4%。結論纖支鏡術特彆是肺活檢可以顯著提高患者肺結覈的診斷率及結覈桿菌的檢齣率,有助于早期明確結覈診斷。
목적：탐토섬지경폐활검대폐결핵조기진단개치급림상개치。방법수집2013년1월~10월취진아원호흡과의진폐결핵환자,결합림상급영상학,분별행담사항산간균검측、PPD실험화결핵단백심편검측화섬지경하쇄편、관세화활검。결과섬지경하가이직관간도지기관침윤정황,PPD、결핵단백심편검측궤섬지경폐활검양성솔분별위42.3%、46.2%、80.8%。섬유지기관경폐활검폐결핵양성솔현저고우담검화PPD실험급결합단백심편검측。담사항산간균섬지경격야후양성솔34.6%명현고우섬지경전15.4%。결론섬지경술특별시폐활검가이현저제고환자폐결핵적진단솔급결핵간균적검출솔,유조우조기명학결핵진단。
Objective To assess the early diagnosis value and clinical value of fiberoptic bronchoscopy of lung biopsy for pulmonary tuberculosis. Methods Col ect patients of tuberculosis from 2013.1 to 2013.10 in the hospital combined with the clinical and imaging, respectively reasearch the phlegm check acid fast bacil i detection, PPD experiment and tuberculosis protein chip and bronchoscopy microscopic brush, lavage and biopsy. Results We can see bronchial infiltration intuitivily by bronchoscopy microscopic ,the positive rate of PPD experiment, tuberculosis protein chip testing by bronchoscopy mir or lung biopsy were 42.3%, 46.2%and 80.8%respectively. Fiberoptic bronchoscopy lung biopsy tuberculosis were significantly higher than that of sputum, and PPD experiment and binding protein chip detection. Phlegm check acid fast bacil i positive rate of 34.6%after bronchoscopy mir or irritability is significantly higher than 15.4%before a mir or. Conclusion Bronchoscopy mirror technique ,especial y lung biopsy can significantly improve the diagnosis of patients with pulmonary tuberculosis and the detection rate of mycobacterium tuberculosis, which can help clear diagnosis of tuberculosis early.
