纤维支气管镜在肺结核中的诊断作用
Diagnostic role of fibreoptic bronchoscopy in pulmonary tuberculosis.
作者信息
Dasgupta K S, Mundada P S, Soni N
机构信息
Department of Otolaryngology, Indira Gandhi Medical College, 440 018 Nagpur.
出版信息
Indian J Otolaryngol Head Neck Surg. 2000 Oct;52(4):347-9. doi: 10.1007/BF02991474.
Fibreoptic bronchoscopy with bronchial aspiration* washings and biopsy was performed in 104 patients suspected clinically and radio logically of having pulmonary tuberculosis diagnostic yield in 9230% (96/104) cases. Diagnostic yield for tuberculosis was in 69.22% (72/104)cases, it includes positive aspiration and washings smear in 38.46%(40/l04) patients,positive mycobacteriai culture alone in 26.92% (28/104) casesandpositive biopsy in 3*84% (4/ 104) patients, Non-tuberculous conditions like pneumonia and bronchogenic carcinoma were diagnosed in 19.23% (20/104) cases and 3.84% (4/104) cases respectively. These results suggest that in areas with high prevalence of tuberculosis, bronchoscopy should be performed for early diagnosis and initiation of therapy in sputum smear-negative cases of pulmonary tuberculosis.
对104例临床和影像学疑似患有肺结核的患者进行了纤维支气管镜检查，并进行支气管抽吸冲洗和活检，诊断阳性率为92.30%（96/104）。肺结核的诊断阳性率为69.22%（72/104），其中包括38.46%（40/104）的患者抽吸物和冲洗液涂片阳性，26.92%（28/104）的病例单纯分枝杆菌培养阳性，3.84%（4/104）的患者活检阳性。分别有19.23%（20/104）的病例和3.84%（4/104）的病例诊断为肺炎和支气管源性癌等非结核性疾病。这些结果表明，在结核病高流行地区，对于痰涂片阴性的肺结核病例，应进行支气管镜检查以早期诊断并开始治疗。 原文此处“aspiration washings”中符号含义不明，可能影响准确理解，但按照要求直接翻译。
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