CAJ | 학술논문

目的探讨支气管结核的临床特点. 方法对我院收治的支气管结核与肺结核患者共300例的临床症状、胸部CT、支气管镜检查、治疗及预后进行对比分析. 结果支气管结核好发于女性,15~40岁多见,咳嗽184(83. 64%),肺不张83(37. 73%),纤支镜下表现典型(其中以左主、左上、右上支气管结核为多). 与单纯肺结核有明显差异(P<0. 05). 结论支气管结核好发于中青年女性,症状以咳嗽多见,但特异性不强. 支气管结核与单纯肺结核治疗方法、疗程、预后均不同,早期诊断、早期治疗、足疗程治疗,意义重大.纤维支气管镜是确诊支气管结核最直接的方法.
목적 탐토지기관결핵적림상특점. 방법 대아원수치적지기관결핵여폐결핵환자공300례적림상증상、흉부CT、지기관경검사、치료급예후진행대비분석. 결과 지기관결핵호발우녀성,15~40세다견,해수184(83. 64%),폐불장83(37. 73%),섬지경하표현전형(기중이좌주、좌상、우상지기관결핵위다). 여단순폐결핵유명현차이(P<0. 05). 결론 지기관결핵호발우중청년녀성,증상이해수다견,단특이성불강. 지기관결핵여단순폐결핵치료방법、료정、예후균불동,조기진단、조기치료、족료정치료,의의중대.섬유지기관경시학진지기관결핵최직접적방법.
Objective To explore the clinical characteristics of bronchial tuberculosis. Methods The clinical characteristics of 300 cases of bronchial tuberculosis and pulmonary tuberculosis were analyzed and com-pared, including clinical symptoms, chest CT, bronchoscopy, treatment and prognosis. Results Bronchial tubercu-losis occurred mostly in women, and their age were from 15 to 40. There were 184 cases with cough (83. 64%) and 83 cases with atelectasis (37. 73%). The performance under bronchoscopy was typical, which showed a significant difference with tuberculosis (P<0. 05). Conclusion Bronchial tuberculosis often occurs in young and middle-aged women, and the main symptom is cough, without typical specificity. The treatment course and prognosis of bronchial tuberculosis are different with pulmonary tuberculosis, and the early diagnosis and treatment, and full course of treat-ment have great significance. Fiberoptic bronchoscopy is the most direct method in the diagnosis of bronchial tubercu-losis.