摘要
目的探讨纤维支气管镜检查对临床拟诊肺结核患者的准确率及临床意义。方法对临床拟诊肺结核患者150例进行支气管镜检查,常规行镜下病理、刷检、支气管肺泡灌洗液(BALF)涂片及培养检查,根据检查结果与常规痰查结核分枝杆菌(mycobacterium tuberculosis,MTB)及痰MTB培养等检查方法进行对比分析。结果 150例临床拟诊肺结核患者痰查MTB及痰MTB培养阳性率、T细胞斑点实验(T SPOT-TB)阳性率为1.3%、4.6%、16%,PPD试验阳性率14%,支气管镜检查刷检及BALF涂片及培养结果阳性率为26%、27.3%、37.3%,两两对照具有统计学意义(P<0.05)。结论纤维支气管镜检查对临床拟诊肺结核患者相比常规痰查MTB、痰MTB培养检查,其检查结果更准确,具有明显临床意义及应用价值。
Objective To discuss the clinical significance of fiberoptic bronchoscopy on para-diagnostic pul-monary tuberculosis patients.Methods 1 50 para-diagnostic pulmonary tuberculosis patients were given bronchosco-py to check pathology,brush,and the smear and culture of BALF.Results The positive rate of sputum inspection of MTB and the sputum cultivation of MTB and T SPOT-TB was 1.3%,4.6% and 1 6% respectively. The positive rate of PPD test was 1 4%.The positive rate of fiberoptic bronchoscopy,smear and culture was 26%,27.3% and 37.3% respectively.Conclusion Fiberoptic bronchoscopy has higher accuracy to in the diagnosis of para-diagnostic pulmonary tuberculosis patients.
出处
《临床肺科杂志》
2015年第2期207-209,共3页
Journal of Clinical Pulmonary Medicine
基金
昆明市科技局科技社会发展重点项目(No 2013-04-01-A-S-02-3101)
关键词
纤维支气管镜检查
拟诊肺结核
临床意义
fiberoptic bronchoscopy
para-diagnostic pulmonary tuberculosis
clinical significance
