CAJ | 학술논문

目的：分析气管支气管结核患者的首次气管镜下表现及临床特点。方法回顾性分析109例气管支气管结核患者的首次电子支气管镜镜下表现分型及其病程、症状、CT 表现等临床特点。结果109例患者支气管镜下表现分型为Ⅰ型14例、Ⅱ型11例、Ⅲ型46例、Ⅳ型38例、Ⅴ型1例、Ⅵ型0例；病程＜1月者5例，1～3月者17例，3～6月者26例，6～12月者31例，＞12月者30例；临床表现：咳嗽104例，咯血44例，胸闷气紧79例，全身症状8例；胸部 CT 异常者52例。结论气管支气管结核患者首诊气管镜表现以Ⅲ型、Ⅳ型居多，Ⅰ型、Ⅱ型少，Ⅴ型、Ⅵ型最少，临床症状无特异性。
목적：분석기관지기관결핵환자적수차기관경하표현급림상특점。방법회고성분석109례기관지기관결핵환자적수차전자지기관경경하표현분형급기병정、증상、CT 표현등림상특점。결과109례환자지기관경하표현분형위Ⅰ형14례、Ⅱ형11례、Ⅲ형46례、Ⅳ형38례、Ⅴ형1례、Ⅵ형0례；병정＜1월자5례，1～3월자17례，3～6월자26례，6～12월자31례，＞12월자30례；림상표현：해수104례，각혈44례，흉민기긴79례，전신증상8례；흉부 CT 이상자52례。결론기관지기관결핵환자수진기관경표현이Ⅲ형、Ⅳ형거다，Ⅰ형、Ⅱ형소，Ⅴ형、Ⅵ형최소，림상증상무특이성。
Objective To analyze the first time bronchoscope findings and clinical characteristics in patients with tracheobron -chial tuberculosis(TBTB).Methods A retrospective analysis of the first time electronic bronchoscopic classifications and clinical characteristics such as disease course ,symptoms and CT performance in 109 TBTB were performed.Results Of the 109 patients,there were 14 cases with tracheal endoscopic types I ,11 with types II,46 with type III,38 with type IV,and 1 with type V.Five cases had the disease course <1 month,7 had 1-3 months,26 had 3-6 months,31 had 6-12 month and 30 had the course >12month.For symptoms, cough was found in 104 cases,hemoptysis in 44 cases,chest tightness and gas tight in 79 cases,and systemic symptom in 8 cases.There were 52 cases with abnormal chest CT.Conclusion The types III and IV are the most tracheal endoscopic types in the first time bron -choscopic findings while types I and II type are less ,and types V and VI are least.There are no specific clinical symptoms in those pa -tients.