摘要
目的探讨CT及支气管镜对支气管结核诊断中的价值。方法比较分析51例支气管结核患者的CT、支气管镜下表现及相关病理结果。结果 CT示支气管管腔不规则狭窄35(68.63%)例,肺门纵隔淋巴结肿大17(33.33%)例,支气管肺结核7(13.73%)例。误诊率为86.27%。支气管镜下表现:充血水肿4例(7.84%)糜烂坏死型15例(29.42%)肉芽结节型22例(43.14%)瘢痕型10例(19.61%)活检病理阳性35(68.63%)例,刷检阳性41例(80.39%)。结论 CT检查为支气管结核的诊断提供重要依据,有助了解病变部位、形态、范围和程度,但误诊率高。支气管镜检查可直观了解支气管粘膜改变,通过活检、刷检提高诊断的阳性率,是诊断支气管结核最快、最准确的方法。
Objective To explore the value of CT and bronchoscopy in the diagnosis of bronchial tuberculosis. Methods The manifestations and their pathological results of 51 patients with bronchial tuberculosis,who were given chest CT or bronchoscope,were comparatively analyzed. Results Chest CT showed irregular bronchial lumen stenosis in 35 cases( 68. 63%),mediastinal lymph nodes in 17 cases( 33. 3%),and 7 cases of pulmonary tuberculosis( 13. 73%). The misdiagnosed rate of chest CT was 86. 27%. Bronchoscopy findings included 4 cases of inflammatory inflammatory infiltration type( 7. 84%),15 cases of caseous necrosis type( 29. 42%),22 cases of hyperplasia of granulation tissue( 43. 41%),and scar stenosis in 10 cases( 19. 61%). Biopsy was positive in 35 cases( 68. 63%),and brush biopsy positive in 41 cases( 80. 39%). Conclusion Chest CT can provide important basis for the diagnosis of bronchial tuberculosis. What's more,it also contribute to the location of lesion,shape,scope,degree and tumescent lymph node,while it has a high rate of misdiagnosis. Bronchoscopy is the fastest and most accurate method in the diagnosis of bronchial tuberculosis,while combined with biopsy and brush biopsy.
出处
《临床肺科杂志》
2014年第1期60-63,共4页
Journal of Clinical Pulmonary Medicine
关键词
支气管结核
CT
支气管镜
诊断
病理
bronchial tuberculosis
CT
bronehoscope
diagnosis
pathological
