Lancella Laura, Nicolosi Luciana, Bottero Sergio, Carnevale Enza, Krzysztofiak Andrzej, Ticca Fausto
U.O. Malattie Infettive, U.O. Otorinolaringoiatria, Dipartimento Diagnostica per Immagini, Ospedale Bambino Gesu, IRCCS, Roma, Italy.
Infez Med. 2003 Jun;11(2):75-80.
The aim of this study is to assess the frequency and clinical importance of mediastinal tubercular lymphadenitis and adenobronchial fistulas (TABF) and to evaluate the role of fiberbronchoscopy and surgical bronchoscopy associated with antimicrobical chemotherapy. 136 cases of primary pulmonary TBC, admitted to the Unit of Infectious Diseases, Bambino Gesu Children Hospital in Rome, between 1980 and 2001, were enrolled in the study. We considered 56 patients with clinical and radiological evidence of mediastinal tubercular lymphadenitis and 28 patients with adenobronchial fistulas (TABF). The incidence of TABF was 20,58% of primary pulmonary TBC. All patients were treated by medical therapy combined with local endobronchial surgery. TABF emerges as a complication of pediatric primary pulmonary TBC. We suggest a clinical and radiological survey to decide the utility of a diagnostic and therapeutic surgical bronchoscopy
本研究的目的是评估纵隔结核性淋巴结炎和腺支气管瘘（TABF）的发生率及临床重要性，并评估纤维支气管镜检查和手术支气管镜检查联合抗微生物化疗的作用。1980年至2001年间，罗马的 Bambino Gesù儿童医院传染病科收治的136例原发性肺结核患者纳入本研究。我们纳入了56例有纵隔结核性淋巴结炎临床和影像学证据的患者以及28例有腺支气管瘘（TABF）的患者。TABF的发生率为原发性肺结核的20.58%。所有患者均接受药物治疗联合局部支气管内手术。TABF是小儿原发性肺结核的一种并发症。我们建议进行临床和影像学检查，以确定诊断性和治疗性手术支气管镜检查的实用性。
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